A Rare Cause of Mechanical Intestinal Obstruction: A Neoplastic Intra-Abdominal Testis
| Autor: | Fatih Ciftci, Cem Kezer, Suat Benek |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine Urinary bladder Ileus medicine.diagnostic_test business.industry Exploratory laparotomy medicine.medical_treatment Sigmoid colon Physical examination Seminoma urologic and male genital diseases medicine.disease Abdominal mass Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Acute abdomen 030220 oncology & carcinogenesis Medicine medicine.symptom business |
| Zdroj: | International Surgery. 101:167-170 |
| ISSN: | 2520-2456 0020-8868 |
| Popis: | The acute abdomen has many etiologies frequently encountered in emergency surgical units. Approximately 20% of surgical admissions for acute abdominal conditions are for intestinal obstruction. Clinicians often overlook rarer causes. A 43-year-old man presented to the emergency ward with the clinical findings of ileus. Computed tomography revealed a heterogeneous necrotic 168 × 100-mm mass between the sigmoid colon and urinary bladder. Physical examination revealed a palpable intra-abdominal mass that was removed via exploratory laparotomy. On histopathologic examination, the mass was identified as a seminoma. The literature contains few reports of seminoma as a cause of acute abdomen and ileus, mostly seen between the ages of 30 and 40 years. We report a patient with seminoma arising in an undescended testis that presented as a palpable painful lower abdominal mass and mechanical intestinal obstruction, despite the large diameter of the mass, as well as review relevant literature. |
| Databáze: | OpenAIRE |
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