Mrs. X presented with symptoms of renal failure two years after being treated for cervical cancer. Imaging showed a pelvic mass compressing her ureters, likely a cancer recurrence causing ureteric obstruction and acute renal failure. Her doctor took a history, examined her, and ordered blood tests and imaging which confirmed the obstruction and renal failure. Her doctor's plan was to relieve the obstruction either by treating the tumor or inserting a ureteric stent, and manage the renal failure with dialysis if needed, with the goal of either curing the cancer or palliating her symptoms.