Ambiguous presentation of an intra-abdominal testicular seminoma in a 40-year-old man: a case report

Abstract Background Cryptorchidism is the most common congenital malformation of the male genitourinary tract. The cryptorchid testis is most often located in the inguinal canal; however, intra-abdominal locations are not rare. The risk of malignancy in an undescended testis is 10% with the highest...

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Main Authors: Marius Nkembe Nkembe, Clarence Mbanga Mvalo, Frank Leonel Tianyi, Cisse Demba
Format: Article
Language:English
Published: BMC 2019-01-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13256-018-1917-3
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author Marius Nkembe Nkembe
Clarence Mbanga Mvalo
Frank Leonel Tianyi
Cisse Demba
author_facet Marius Nkembe Nkembe
Clarence Mbanga Mvalo
Frank Leonel Tianyi
Cisse Demba
author_sort Marius Nkembe Nkembe
collection DOAJ
description Abstract Background Cryptorchidism is the most common congenital malformation of the male genitourinary tract. The cryptorchid testis is most often located in the inguinal canal; however, intra-abdominal locations are not rare. The risk of malignancy in an undescended testis is 10% with the highest risk in an intra-abdominal testis. Case presentation Here we describe a case of a 40-year-old fertile man of Fulbe origin who presented with a non-tender lower abdominal mass of 2 months’ duration. A scrotal examination revealed just one testis in the right scrotum, with the contralateral scrotum and inguinal canal being empty. An exploratory laparotomy followed by tumor excision and histopathology revealed a testicular seminoma. Conclusion This case report highlights the need for routine scrotal examination in all men presenting with an abdominal mass so as to rule out the possibility of an intra-abdominal seminoma.
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spelling doaj.art-9f4599bf70d44cdb828f4a4c7fa463542022-12-21T17:17:55ZengBMCJournal of Medical Case Reports1752-19472019-01-011311410.1186/s13256-018-1917-3Ambiguous presentation of an intra-abdominal testicular seminoma in a 40-year-old man: a case reportMarius Nkembe Nkembe0Clarence Mbanga Mvalo1Frank Leonel Tianyi2Cisse Demba3Franciscan Catholic Health Centre Mayo-DarléMankon Sub-divisional HospitalMayo-Darlé Sub-divisional HospitalSt Elizabeth Catholic General Hospital and Cardiac CentreAbstract Background Cryptorchidism is the most common congenital malformation of the male genitourinary tract. The cryptorchid testis is most often located in the inguinal canal; however, intra-abdominal locations are not rare. The risk of malignancy in an undescended testis is 10% with the highest risk in an intra-abdominal testis. Case presentation Here we describe a case of a 40-year-old fertile man of Fulbe origin who presented with a non-tender lower abdominal mass of 2 months’ duration. A scrotal examination revealed just one testis in the right scrotum, with the contralateral scrotum and inguinal canal being empty. An exploratory laparotomy followed by tumor excision and histopathology revealed a testicular seminoma. Conclusion This case report highlights the need for routine scrotal examination in all men presenting with an abdominal mass so as to rule out the possibility of an intra-abdominal seminoma.http://link.springer.com/article/10.1186/s13256-018-1917-3Intra-abdominalTesticularSeminomaCase report
spellingShingle Marius Nkembe Nkembe
Clarence Mbanga Mvalo
Frank Leonel Tianyi
Cisse Demba
Ambiguous presentation of an intra-abdominal testicular seminoma in a 40-year-old man: a case report
Journal of Medical Case Reports
Intra-abdominal
Testicular
Seminoma
Case report
title Ambiguous presentation of an intra-abdominal testicular seminoma in a 40-year-old man: a case report
title_full Ambiguous presentation of an intra-abdominal testicular seminoma in a 40-year-old man: a case report
title_fullStr Ambiguous presentation of an intra-abdominal testicular seminoma in a 40-year-old man: a case report
title_full_unstemmed Ambiguous presentation of an intra-abdominal testicular seminoma in a 40-year-old man: a case report
title_short Ambiguous presentation of an intra-abdominal testicular seminoma in a 40-year-old man: a case report
title_sort ambiguous presentation of an intra abdominal testicular seminoma in a 40 year old man a case report
topic Intra-abdominal
Testicular
Seminoma
Case report
url http://link.springer.com/article/10.1186/s13256-018-1917-3
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AT clarencembangamvalo ambiguouspresentationofanintraabdominaltesticularseminomaina40yearoldmanacasereport
AT frankleoneltianyi ambiguouspresentationofanintraabdominaltesticularseminomaina40yearoldmanacasereport
AT cissedemba ambiguouspresentationofanintraabdominaltesticularseminomaina40yearoldmanacasereport