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Case Reports
. 2023 Feb 22;2023(2):rjad064.
doi: 10.1093/jscr/rjad064. eCollection 2023 Feb.

Testicular choriocarcinoma: a rare diagnosis in a patient presenting with hemorrhagic shock

Michael Mazzeo  1 , Ratul Bhattacharyya  2 , James Yang  2 , Ida Molavi  2
Affiliations
Case Reports

Testicular choriocarcinoma: a rare diagnosis in a patient presenting with hemorrhagic shock

Michael Mazzeo et al. J Surg Case Rep. .

Abstract

Testicular choriocarcinoma is a rare and aggressive subtype of nonseminomatous germ cell tumors accounting for <1% of all germ cell tumors. We report an unusual case of testicular choriocarcinoma metastasis that presents as hemorrhagic shock. Diagnosis was unsuspected and difficult with vast other potential causes. This case highlights the importance of proper foundational workup and management that ultimately led to the appropriate definitive treatment of unusual manifestations of undiagnosed metastatic choriocarcinoma in a critical patient.

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Figures

Figure 1
Figure 1
(A, B) CTA shows hemoperitoneum anterior to the left lobe of the liver.
Figure 2
Figure 2
Right scrotum complex cystic mass.
Figure 3
Figure 3
(A) Histologic section showing mononucleated trophoblast and multinucleated syncytiotrophoblast cells consistent with choriocarcinoma (Hematoxylin and eosin stain); (B) Immunohistochemistry for human chorionic gonadotropin (hCG) highlights tumors cells, which supports the diagnosis of choriocarcinoma (Immunohistochemical stain).
See this image and copyright information in PMC

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