Massive Hemoperitoneum Resulting From Rupture of a Seminoma in an Undescended Testicle

Watkins, George L.

doi:10.1016/s0022-5347(17)61978-5

Cited by 14 publications

(10 citation statements)

References 9 publications

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“…Acute abdomen and massive bleeding is a very rare presentation of a cryptoid testicular cancer, with 2 cases of ruptured intra-abdominal seminomas reported in the literature [11, 12]. It is interesting to mention that Sertoli-Leydig tumours of the ovary have been reported to rupture into the abdomen [13].…”

Section: Discussionmentioning

confidence: 99%

Hemorrhagic Shock Caused by Rupture of an Intra-Abdominal Leydig Cell Tumour: Case Report

Gonzalez¹,

Merlani²,

Egger

et al. 2007

Case Rep Gastroenterol

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Section: Discussionmentioning

confidence: 99%

Hemorrhagic Shock Caused by Rupture of an Intra-Abdominal Leydig Cell Tumour: Case Report

Gonzalez¹,

Merlani²,

Egger

et al. 2007

Case Rep Gastroenterol

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“…These include hemoptysis, hemetemesis, melena and epistaxis, as well as hemorrhage into closed spaces such as the scrotum, brain or peritoneum. [10][11][12][13][14][15][16] The tumours themselves are highly vascular 17 and can bleed continuously despite small size. 12 In…”

Section: Hematologicmentioning

confidence: 99%

Acute presentation of choriocarcinoma: a case study and review of the literature

Worster

Sharma

Mookadam

et al. 2002

CJEM

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We report an unusual case of a 27-year-old male with an acute presentation of choriocarcinoma. The patient presented with unstable vital signs, severe anemia and a widened arterial pulse pressure following a several day history of testicular pain. He was subsequently diagnosed as having testicular choriocarcinoma with multiple hepatic metastases and large hemorrhagic para-aortic lymph nodes. The widened pulse pressure persisted during fluid resuscitation and correction of both the anemia and hypotension, and only narrowed after the initiation of chemotherapy. A literature review indicates that metastatic testicular choriocarcinoma is a rare but aggressive malignancy that often presents with acute symptoms and signs that cause patients to seek emergency care. We summarize the reported cases of "acute" testicular choriocarcinoma presentation and briefly discuss its relationship to widened arterial pulse pressure. RÉSUMÉNous présentons un cas inhabituel de présentation aiguë d'un choriocarcinome chez un homme âgé de 27 ans. Le patient avait été reçu à l'urgence pour des signes vitaux instables, une anémie sévère et une augmentation de sa tension artérielle différentielle découlant d'une douleur testiculaire installée depuis plusieurs jours. On diagnostiqua par la suite un choriocarcinome du testicule accompagné de métastases hépatiques multiples et de ganglions para-aortiques tuméfiés et hémorragiques. L'augmentation de la tension artérielle différentielle persista au cours de la réani-mation liquidienne et de la correction de l'anémie et de l'hypotension et diminua seulement après le début de la chimiothérapie. Une revue de la littérature indique que le choriocarcinome métastatique du testicule est un cancer rare mais virulent souvent accompagné de signes et symptômes aigus qui incitent le patient à obtenir des soins d'urgence. Nous résumons les cas signalés de présentation «aiguë» de choriocarcinome du testicule et discutons brièvement de sa relation avec l'augmentation de la tension artérielle différentielle.

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“…Several cases of germ cell tumors initially presented with acute abdomen have been reported previously, and in these cases acute abdomen occurred by torsion or bleeding of intraabdominal testes [25,26]. Our case also presented with acute abdomen, but the main cause was small bowel perforation due to the tumor infiltration.…”

Section: Discussionmentioning

confidence: 52%

Seminoma presented with acute abdomen due to ileum perforation

et al. 2010

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AbstractGerm cell tumors presenting with an acute abdomen are not common. We present a case of seminoma with ileum perforation, which presented in a 48-year-old man. who had been admitted to hospital with a right lower abdominal palpable mass measuring approximately 16 cm. Before an exploratory laparotomy was performed, acute abdomen with signs of hollow viscus perforation had occurred. An ileum perforation was detected and a right hemicolectomy and ileal resection were performed. The pathological examination showed a classic seminoma of undescended testis. In conclusion, this case is interesting with respect to its clinical picture of acute abdomen due to ileal perforation. The possibility of a germ cell tumor should always be kept in mind in male patients with acute abdomen.

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Massive Hemoperitoneum Resulting From Rupture of a Seminoma in an Undescended Testicle

Cited by 14 publications

References 9 publications

Hemorrhagic Shock Caused by Rupture of an Intra-Abdominal Leydig Cell Tumour: Case Report

Hemorrhagic Shock Caused by Rupture of an Intra-Abdominal Leydig Cell Tumour: Case Report

Acute presentation of choriocarcinoma: a case study and review of the literature

Seminoma presented with acute abdomen due to ileum perforation

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