Testicular Choriocarcinoma with Jejunal Metastasis Complicated by Intestinal Perforation and Acute Peritonitis

Abstract

Intestinal metastases are rare, and only few cases of intestinal perforations secondary to metastatic cancer have been reported. Case Report: We report here a case of a 25-year-old male with testicular pure choriocarcinoma and synchronous bilateral multiple lung metastases. After failure of four lines of chemotherapy, in the context of rapidly progressive advanced metastatic disease, the metastases appeared not only in the usual metastatic sites but also in less common sites, including small bowel and skin. The course was complicated by perforation of bowel secondary to metastasis and purulent peritonitis that necessitated surgical intervention. Conclusion: The possibility of small bowel perforation should be considered in differential diagnosis of patients with advanced testicular tumors presenting with abdominal pain.