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Case Reports
. 2018 Jun 14:2018:bcr2017223736.
doi: 10.1136/bcr-2017-223736.

Retroperitoneal seminoma, a rare cause of testicular pain

Shivani Joshi  1 , Vernon Sivarajah  2
Affiliations
Case Reports

Retroperitoneal seminoma, a rare cause of testicular pain

Shivani Joshi et al. BMJ Case Rep. .

Abstract

Extragonadal retroperitoneal seminomas are a rare cause of testicular pain in males. We report the case of a 46-year-old man, who presented with right-sided testicular pain, clinically mimicking testicular torsion. The patient underwent a scrotal exploration, which revealed normal testes. He went on to have a contrast-enhanced CT abdomen and pelvis, which revealed a 55 mm para-aortic mass, displacing the duodenum and inferior vena cava, with an adjacent 22 mm lymph node. Histological analysis revealed that it was a seminoma.

Keywords: general surgery; pathology; urological cancer; urological surgery; vascular surgery.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
CT abdomen and pelvis with contrast (coronal plane). The 55 mm retroperitoneal tumour is visualised in the aortocaval region, with consequent displacement of the adjacent duodenum and inferior vena cava.
Figure 2
Figure 2
CT-guided biopsy. The biopsy needle is visualised entering the retroperitoneal tumour via a percutaneous approach.
See this image and copyright information in PMC

References

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