Volume 15, Number 3Case ReviewUreteral Metastasis as the Presenting Manifestation of Pancreatic CarcinomaOnkar SinghNand Kishore ArvindShilpi GuptaQutub AliWe recently cared for a patient with adenocarcinoma of the pancreas who presented with ureteral metastasis followed by hydroureteronephrosis long before the appearance of any symptoms related to the primary lesion. The entity is extremely rare; only seven similar cases are on record in the scientific literature. No recent review exists on this topic. This encouraged us to present our case along with the previous cases of adenocarcinoma of the pancreas with ureteral metastasis that have been reported. [Rev Urol. 2013;15(3):124-130 doi: 10.3909/riu0575] © 2013 MedReviews®, LLCMetastasisHydronephrosisUreterUreteral metastasisPancreatic adenocarcinoma