title: A case of jejunal intussusception with gastrointestinal bleeding caused by metastatic testicular germ cell cancer.
abstract: OBJECTIVE
  We report an unusual case of metastatic testicular germ cell tumor with its unusual presentation.
  
  
  METHODS
  A patient presented to the San Joaquin General Hospital with gastrointestinal bleeding and obstruction and a testicular mass is described. The patient's clinical course is followed and the literature reviewed.
  
  
  RESULTS
  The patient presented with jejunal intussusception due to metastatic testicular cancer. He was treated with orchiectomy and bowel resection followed by postoperative chemotherapy.
  
  
  CONCLUSIONS
  This case illustrates the need to consider metastatic small-bowel obstruction and/or intussusception in patients presenting with testicular mass and abdominal pain.
authors.affiliation: Department of Internal Medicine, San Joaquin General Hospital, Stockton, CA 95201, USA.
authors.forename: R
authors.initials: R
authors.lastname: Hofflander
authors.forename: D
authors.initials: D
authors.lastname: Beckes
authors.forename: S
authors.initials: S
authors.lastname: Kapre
authors.forename: N
authors.initials: N
authors.lastname: Matolo
authors.forename: S
authors.initials: S
authors.lastname: Liu
mesh_terms: D000328:Adult; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D018237:Germinoma / Q000150:complications* / Q000556:secondary; D006801:Humans; D007443:Intussusception / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D007580:Jejunal Neoplasms / Q000150:complications / Q000556:secondary; D008297:Male; D013736:Testicular Neoplasms / Q000150:complications*