[Answered]: : A 57-year-old male patient was admitted to the…

: A 57-year-old male patient was admitted to the hospital with the known diagnosis of right ureteral obstruction caused by secondary neoplasm of the ureter. Known to have a primary malignancy of the stomach (body) that was surgically resected six months earlier, the patient was still receiving chemotherapy for the gastric malignancy. Outpatient testing showed evidence of minor ascites and right ureteral metastasis causing obstruction, resulting in right hydronephrosis. The patient was admitted for treatment of the hydronephrosis. The patient was taken to the radiation department where an interventional radiologist percutaneously inserted a nephrostomy tube directly into the right kidney for drainage. A percutaneous paracentesis was also performed for diagnostic purposes. Cytology examination of the peritoneal fluid showed evidence of peritoneal metastasis and malignant ascites. The patient did not want further aggressive therapy and was discharged home to consider using hospice services. Principal Diagnosis: Secondary Diagnoses: N13.6 Principal Procedure: Secondary Procedures