Testicular Cancer Presenting as Gastric Variceal Hemorrhage
| Autor: | David Hernández-Barajas, Omar D. Borjas-Almaguer, José Luis González-Vela, Blanca Otilia Wimer-Castillo, Edio Llerena-Hernández, Adriana González-Gutiérrez, María Inés Contreras-Salcido, Luis Alberto Pérez-Arredondo, Carlos Eduardo Salazar-Mejía |
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| Rok vydání: | 2017 |
| Předmět: |
endocrine system
History medicine.medical_specialty Gastrointestinal bleeding Polymers and Plastics Case Report Malignancy Industrial and Manufacturing Engineering Metastasis 03 medical and health sciences 0302 clinical medicine Scrotum medicine lcsh:RC799-869 Business and International Management Testicular cancer business.industry Gastric varices medicine.disease Surgery medicine.anatomical_structure Splenic vein 030220 oncology & carcinogenesis Portal hypertension lcsh:Diseases of the digestive system. Gastroenterology 030211 gastroenterology & hepatology business |
| Zdroj: | Case Reports in Gastrointestinal Medicine Case Reports in Gastrointestinal Medicine, Vol 2017 (2017) |
| ISSN: | 2090-6536 2090-6528 |
| DOI: | 10.1155/2017/4510387 |
| Popis: | Testicular cancer is the most common solid malignancy affecting males between the ages of 15 and 35. The symptomatology caused by this tumor varies according to the site of metastasis. We present the case of a 26-year-old male who arrived to the emergency department with hematemesis. He had no previous medical history. On arrival, we noted enlargement of the left scrotal sac. There was also a mass in the left scrotum which provoked displacement of the penis and right testis. The serum alpha-fetoprotein level was 17,090 ng/mL, lactate dehydrogenase was 1480 U/L, and human chorionic gonadotropin was 287.4 IU/mL. Upper endoscopy revealed a type 1 isolated gastric varix, treated with cyanoacrylate. A CT scan showed extrinsic compression of the portal vein by lymphadenopathy along with splenic vein partial thrombosis, which caused left-sided portal hypertension. Neoadjuvant chemotherapy was started with etoposide and cisplatin, and seven days later the patient underwent left radical orchiectomy. A postoperative biopsy revealed a pure testicular teratoma. Noncirrhotic left portal hypertension with bleeding from an isolated gastric varix secondary to metastasic testicular cancer has not been described before. Clinicians must consider the possibility of malignancy in the differential diagnosis of a young man presenting with unexplained gastrointestinal bleeding. |
| Databáze: | OpenAIRE |
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