Bilateral Torsion of Intra-abdominal Seminoma Presenting with Acute Abdomen and Intra-peritoneal Bleeding: A Case Report

Seminoma is the most frequently reported tumor in patients with intra-abdominal testicles. In very rare cases, it might present with torsion or rupture. We report a 41-year-old man who presented with acute abdominal pain due to torsion of large bilateral intra-abdominal testicular tumors with rupture of the right-sided mass. Bilateral orchiectomy was performed and histopathological examination revealed bilateral seminoma. Postoperative staging imaging displayed no lymphadenopathy or metastatic lesions. No adjuvant treatment was required and the patient is clinically well and under regular follow-up. This case represents an extremely rare presentation of bilateral testicular cancer with a pleasant outcome.

Akut Karın ve İntraperitoneal Kanamaya Bağlı İntraabdominal Seminomun İki Taraflı Torsiyonu: Bir Olgu Sunumu

Kriptorşidizm, testis tümörleri gelişme olasılığı yüksek, erkek cinsiyette görülen yaygın doğumsal anomalidir. Seminom, intraabdominal testisli hastalarda bildirilen en sık görülen tümördür. Genellikle abdominal kitlesi veya metastatik hastalığı bulunur, ancak nadir durumlarda torsiyon veya kopma olabilir. Akut karın ağrısı ve intraperitoneal kanama ile başvuran 41 yaşındaki erkek hasta üzerinde rapor veriyoruz. Resüsitasyondan sonra, cerrahi eksplorasyon, sağ taraflı kitle rüptürü ile geniş bilateral intraabdominal testis tümörlerinin torsiyonunu gösterdi. Bilateral orşiektomi yapıldı ve histopatolojik incelemede bilateral seminom tespit edildi. Postoperatif evreleme görüntülemesinde, tümör belirteçlerinin normalleştirilmesi ile birlikte lenfadenopati veya metastatik lezyon görülmedi. Hiçbir adjuvan tedavi gerekmemekteydi ve hasta klinik olarak iyi takip edildi ve düzenli takibe alındı. Bu olgu, bilateral testis kanserinin nadir görülen ve iyi sonuç veren bir sunumudur.

Kaynakça

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Kaynak Göster

  • ISSN: 2148-9580
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2014

2.1b 1.5b

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