[Intra-abdominal torsion of the testis with seminoma].
A 38-year-old man presented with acute onset of left iliac fossa pain. He had never noticed a left testis. An ultrasound scan showed a solid pelvic mass. Alfafoetoprotein and HCG were normal. Laparotomy for an acute abdomen was performed and revealed torsion of the left intra-abdominal testis. A left orchiectomy was performed. The patient made an uneventful recovery. Histology showed seminoma and carcinoma in situ. A testicular biopsy from the right testis showed no malignancy. A detailed examination of the genitalia should be part of the usual abdominal examination.
Andreasen
D A
DA
Aalborg Sygehus, urologisk afdeling.
Poulsen
J
J
D000006:Abdomen, Acute / Q000175:diagnosis* / Q000601:surgery; D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009919:Orchiectomy; D018239:Seminoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D013086:Spermatic Cord Torsion / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D013736:Testicular Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery
Torkveret intraabdominalt beliggende testis med seminom.