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CASE REPORT
Retroperitoneal seminoma, a rare cause of testicular pain
  1. Shivani Joshi1,
  2. Vernon Sivarajah2
  1. 1Department of General Surgery, West Hertfordshire Hospitals NHS Trust, Watford, Hertfordshire, UK
  2. 2Department of General Surgery, Royal Free London NHS Foundation Trust, London, London, UK
  1. Correspondence to Miss Shivani Joshi, shivani.joshi{at}doctors.org.uk

Summary

Extragonadal retroperitoneal seminomas are a rare cause of testicular pain in males. We report the case of a 46-year-old man, who presented with right-sided testicular pain, clinically mimicking testicular torsion. The patient underwent a scrotal exploration, which revealed normal testes. He went on to have a contrast-enhanced CT abdomen and pelvis, which revealed a 55 mm para-aortic mass, displacing the duodenum and inferior vena cava, with an adjacent 22 mm lymph node. Histological analysis revealed that it was a seminoma.

  • urological cancer
  • pathology
  • urological surgery
  • vascular surgery
  • general surgery

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Footnotes

  • Contributors VS was one of the operating surgeons involved in the case. The case was observed by SJ. The final report was written by SJ, with editing from VS.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.