Urologic aspects of pancreatic adenocarcinoma

Pancreatic adenocarcinoma can present initially as urologic disease. The 15 reported cases in the literature are analyzed and 5 cases, featuring ureteral obstruction, renal artery compression, abdominal bruit, positive urinary cytology, varicocele, renal mass and hematuria as the initial presentation of this disease, are added. The diagnosis and management are reviewed.