title: Ruptured Retroperitoneal Node Presenting as Hemoperitoneum-An Unusual Presentation of testicular tumour.
abstract: Herewith we are reporting an unusual presentation of testicular tumour. The patient is a 37 years old gentleman diagnosed with Stage III seminoma post orchidectomy on chemotherapy and had spontaneous rupture of retroperitoneal nodal mass and presented with hemoperitoneum and hypovolemic shock. He was successfully salvaged by aggressive resuscitation, emergency laparotomy and resection of ruptured nodal mass and is presently disease free. This article is aimed at highlighting this unusual presentation and complication of advanced testicular tumour and the need for aggressive surgery even in the so called hopeless situations. The need for multidisciplinary care in the cure of advanced testicular care is once again reemphasized.
authors.affiliation: Department of Surgical Oncology, Cancer Institute, Adyar, Chennai, India ; No. 6. First Cross Street, Avadi Road, Karayanchavadi, Poonamallee, Chennai, 600 056 Tamilnadu India.
authors.forename: Senthil Kumar Azhisoor
authors.initials: SK
authors.lastname: Chandrasekhar
authors.affiliation: Division of Urologic Oncology, Department of Surgical Oncology, Cancer Institute, Adyar, Chennai, India.
authors.forename: Narayanaswamy
authors.initials: N
authors.lastname: Kathiresan
keywords: Chemotherapy; Hemoperitoneum; Laparotomy; Multidisciplinary care; Retroperitoneal node; Testicular tumour