Two Cases of Intrascrotal Tumors Complicated Acute Scrotum

Takeshita, Hideki; Chiba, Koji; Kitayama, Sachi; Noro, Akira

doi:10.5980/jpnjurol1989.99.698

Cited by 3 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In another reported case of a young male patient who presented to the emergency department with an acute scrotum, exploration was performed due to the inability to rule out testicular torsion subcapsular arterial bleeding, and a small nonseminomatous GCT was discovered [ 4 ]. The last reported case was from China of a 25-year-old man with an acute scrotum; it was eventually diagnosed as torsion of a testicular tumor [ 8 ]. Although all reported cases were of patients with an acute scrotum (diagnosed as a testicular tumor), none reported the tumor as a direct cause of the testicular pain.…”

Section: Discussionmentioning

confidence: 99%

A Case of Testicular Tumor Presenting as Acute Scrotum

Alturaiki,

Alnasser,

Alabandi

2023

Cureus

View full text Add to dashboard Cite

Germ cell tumors (GCTs) are the most common testicular malignancies in men. GCT typically presents as a painless nodule or swelling of the testicles with an atypical presentation such as heaviness or dull ache of the scrotum and/or the lower abdomen. Herein, we report a rare case of a testicular tumor presenting as an acute scrotum. This is a case of a 25-year-old male with no significant medical history; he presented to the emergency department with an acute scrotum for less than one day that was highly suspicious for testicular torsion. Surgical exploration and histopathology investigation revealed that this was a case of mixed GCTs.

show abstract

Section: Discussionmentioning

confidence: 99%

A Case of Testicular Tumor Presenting as Acute Scrotum

Alturaiki,

Alnasser,

Alabandi

2023

Cureus

View full text Add to dashboard Cite

show abstract

Testicular Seminoma Incidentally Detected by Spermatic Cord Torsion

Shim

Ahn

et al. 2012

Korean J Androl

View full text Add to dashboard Cite

= Abstract =We recently encountered a very rare case of torsion of an intrascrotal testicular tumor in a 26-year-old male. Unlike the intra-abdominal undescended testis, intrascrotal spermatic cord torsion associated with a testicular tumor has rarely been reported. We write to report a case of intrascrotal spermatic cord torsion accompanied by a testicular tumor that had been overlooked preoperatively. Key Words: Spermatic cord torsion, SeminomaTorsion usually occurs in the absence of a precipitating event, such as trauma.1 Predisposing factors for testicular torsion are an increase of testicular volume, history of cryptorchidism, and testicular tumor. 2 Most reports of the spermatic cord torsion associated with testicular tumors, especially seminoma, are localized in the intra-abdominal testis. We report this rare case of intrascrotal spermatic cord torsion associated with an initially overlooked seminoma for the first time in South Korea. Case ReportA twenty-six-year-old male patient was referred to the department of urology from the department of emergency medicine due to the abrupt onset of left scrotal pain and swelling. He had never noticed enlargement of scrotum before nor did he have a history of scrotal pain. On physical examination, the testis was enlarged with severe tenderness and the absence of the cremasteric reflex. On gray-scale sonography, the testicle showed heterogeneous echogenicity composed mainly of a hypoechoic lesion and enlargement of the epididymis (Fig. 1A, 1B). Doppler sonography revealed no blood flow. We decided to perform emergent detorsion. Upon detorsion, his pain was relieved and Doppler sonography showed a resumption of blood flow. The emergency operation planned was bilateral orchiopexy performed through a scrotal midline incision. In the operation room, the spermatic cord was edematous due to prolonged torsion and the enlarged testicle had bluish mass-like lesions in seminiferous tubules seen through the transparent tunica albuginea with an enlarged and congested epididymis (Fig. 2). Frozen pathological analysis of the bluish masses during operation revealed seminoma. An additional inguinal incision for an orchiectomy and the final pathological analysis was consistent with seminoma confined to the testis (Fig. 3). There was no evidence of distant metastasis on postoperative abdomino-pelvic

show abstract

A Case of Testicular Tumor Diagnosed Due to Acute Scrotum

Onohara,

Shirakawa,

Tsujii

et al. 2023

Jpn. j. urol

View full text Add to dashboard Cite

A 32-year-old man visited the emergency department complaining of the right scrotal pain, which occurred suddenly during sexual intercourse. Palpation revealed induration and tenderness on the caudal side of the right testis.Ultrasonography revealed a mosaic-like mass on the caudal side of the testis and no difference in blood flow between the right and left testes. The patient underwent a thorough examination the next day. Although the blood test did not show elevated tumor marker levels, testicular MRI revealed a mass with heterogeneous signal in the right scrotum. Subsequently, the patient was referred to another hospital for surgery. The pathological examination revealed a mixed germ cell tumor: seminoma (60%), teratoma (20%), and embryonal carcinoma (20%). One year postoperatively, the patient has had no recurrence. Testicular tumors are rarely discovered in acute scrotum, and few such cases have been reported. Torsion of the tumor, hemorrhage, necrosis, rupture, and infection have been reported as mechanisms of occurrence. When acute scrotum is diagnosed, testicular tumor should be considered as a differential diagnosis.

show abstract

Two Cases of Intrascrotal Tumors Complicated Acute Scrotum

Cited by 3 publications

References 0 publications

A Case of Testicular Tumor Presenting as Acute Scrotum

A Case of Testicular Tumor Presenting as Acute Scrotum

Testicular Seminoma Incidentally Detected by Spermatic Cord Torsion

A Case of Testicular Tumor Diagnosed Due to Acute Scrotum

Contact Info

Product

Resources

About