Singh P, Bajaj K, Kaur R, Mishra A, Riar Hk
Department of Radiodiagnosis and Medicine, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana (Ambala), Haryana, India.
Ann Med Health Sci Res. 2013 Jan;3(1):108-9. doi: 10.4103/2141-9248.109467.
We present a case of a 28-year-old male who presented with acute abdomen and was later diagnosed to be having ruptured intra-abdominal seminoma with hemoperitoneum, where the pre-operative diagnosis was not made. Laprotomy and complete excision were carried out. Rupture of intra-abdominal testicular seminoma is a rare cause of acute abdomen and hemoperitoneum. The pre-operative diagnosis is often difficult because history of cryptorchidism is not provided and imaging findings may be non-specific. In a male patient with acute abdomen and without previous history of orchidectomy, a testicular aetiology of acute abdomen should be kept as the differential diagnosis.
我们报告一例28岁男性，因急腹症就诊，后来被诊断为腹腔内精原细胞瘤破裂并伴有血腹，术前未做出诊断。进行了剖腹手术并完整切除。腹腔内睾丸精原细胞瘤破裂是急腹症和血腹的罕见原因。术前诊断通常很困难，因为未提供隐睾病史且影像学表现可能不具有特异性。对于患有急腹症且既往无睾丸切除术病史的男性患者，应将急腹症的睾丸病因作为鉴别诊断之一。
