Background
Spontaneous rupture of testicular rhabdomyosarcoma is very rare. We report a case of spontaneous testicular rupture that was pathologically confirmed as rhabdomyosarcoma with unilateral blepharoptosis.
Case presentation:
a 19-year-old male and his father had weakness of the left eyelid muscle ,who was suspicion diagnosed right inguinal hernia by the family doctor without further treatment ,Two days later, there was skin itching in the right inguinal area, with redness, swelling and discomfort of the right scrotum, and he went to the local hospital again,Ultrasound examination showed that the contusion of the right testis may have been complicated with orchitis,oral levofloxacin was invalid.scrotal enlargement significantly increased, He came to the emergency room of our hospital the patient was treated with levofloxacin, but the pain was not relieved,CT and Ultrasound examination cannot defined the cause of the disease,the exploration of the right scrotum, which was performed under general anaesthesia and comfirmed the right testis was spontaneous rupture,The pathological diagnosis was rhabdomyosarcoma of the right testis.
Conclusion
Testicular rhabdomyosarcoma is clinically rare, and spontaneous rupture is even more rare. The pathogenesis of the disease needs to be further studied, and the diagnosis is made on a case-by-case basis. Overall, the prognosis is poor. As seen by this case, whether there is some association between testicular rhabdomyosarcoma and ptosis needs further study. unfortunately,