Joshi Shivani, Sivarajah Vernon
Department of General Surgery, West Hertfordshire Hospitals NHS Trust, Watford, Hertfordshire, UK.
Department of General Surgery, Royal Free London NHS Foundation Trust, London, London, UK.
BMJ Case Rep. 2018 Jun 14;2018:bcr-2017-223736. doi: 10.1136/bcr-2017-223736.
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.
性腺外腹膜后精原细胞瘤是男性睾丸疼痛的罕见原因。我们报告一例46岁男性病例，该患者表现为右侧睾丸疼痛，临床上酷似睾丸扭转。患者接受了阴囊探查，结果显示睾丸正常。随后他进行了腹部和盆腔增强CT检查，发现一个55毫米的主动脉旁肿块，推移十二指肠和下腔静脉，并伴有一个相邻的22毫米淋巴结。组织学分析显示为精原细胞瘤。
