Torsed Intraabdominal Testicular Tumor Diagnosed during Surgery Performed due to Suspicion of Acute Appendicitis

• Authors: Tomasz Staniuk , Łukasz Szymański , Mirosław Trocha
• Languages of publication: EN

Abstracts

EN

Intra-abdominal neoplasmatic testicular torsion is a very rare clinical condition, which is normally not considered during differential diagnosis of acute appendicitis. The above-mentioned is most often observed in patients after puberty, without any previous specific symptoms apart from the absence of the testis in the scrotum and inguinal canal or periodic pain in the right lower abdomen. The study presented a case of a 22-year old male patient who was admitted and operated with suspicion of acute appendicitis. During surgery we observed intra-abdominal testicular torsion, both the testis and appendix were excised. Postoperative histopathological results were as follows: seminoma of the testis and normal appendix. The study presented available data concerning the above-mentioned rare clinical condition, as well as principles of diagnosis and treatment.

Keywords

EN

intra-abdominal testis; seminoma; torsion; cryptorchidism; acute appendicits

• Journal: Polish Journal of Surgery
• Year: 2012
• Volume: 84
• Issue: 10
• Pages: 526-530

Dates

published

1 - 12 - 2012

online

28 - 12 - 2012

Contributors

author

Tomasz Staniuk

• Department of Oncology Centre Prof Lukaszczyk Memorial Hospital in Bydgoszcz, Nicolaus Copernicus University in Torun, Ludwik Rydygier Collegium Medicum in Bydgoszcz

author

Łukasz Szymański

• Health Centre, Surgery Department of Tczew, District Hospital

author

Mirosław Trocha

• Health Centre, Surgery Department of Tczew, District Hospital

References

• 1. Welsh PC, Retik AB, Stamey TA et al: Campbell’s Urology. Sixth Edition, vol. 2, W.B. Saunders Company 1992; 1543-62.
• 2. Macfarlane MT : Urologia. Urban & Partner. Warszawa 1997; 50-52.
• 3. Zieliński J, Leńki J: Urologia. PZWL, Warszawa 1993; t.II: 594-596.
• 4. Miller FH, Whitney WS, Fitzgerald et al.: Seminomas Complicating Undescended Intraabdominal Testes in Patients with Prior Negative Findings from Surgical Exploration. AJR 1999; 172(2): 425-28.
• 5. Farrer JH, Walker AH, Rajfer J: Management of the postpubertal cryptorchid testis: a statistical review. J. Urol 1985; 134: 1071.
• 6. Siroky MD, Oates RD, Babayan RK: Podręcznik urologii. Wyd. Czelej 2006; 392-97.
• 7. Scorer G, Farrington GH: Congenital deformitiesof the testis and epidydimis. New York, Appleton- Century-Crofts 1971.
• 8. Krane RJ, Siroky MB, Fitzpatrick JM: Clinical Urology, JB Lippincott Company; 1994; 1179-81.
• 9. Hutcheson JC, Khorasani R, Capelouto CC et al.: Torsion of Intraabdominal Testicular Tumors. A case report. Cancer 1996; 77(2): 339-43.
• 10. Amis SEJr, Newhouse JH: Essentials of Uroradiology. Little Brown and Company 1991; 70: 347-52.
• 11. Sangrasi AK, Laghari AA, Abbasi MR et al.: Laparoscopic-Assisted Management of Impalpable Testis in Patients Older than 10 Years. JSLS 2010; 14: 251-55.
• 12. Nielubowicz J: Ostre schorzenia jamy brzusznej. PZWL, Warszawa 1988; wyd.IV: 145-76.
• 13. Śliwiński M, Rudowski W: Chirurgia kliniczna i operacyjna. PZWL, Warszawa 1985; t.III, cz.2; 473-84.
• 14. Szmidt J, Kużdżał J: Podstawy chirurgii. MedycynaPraktyczna 2010, t.2; 593-46.
• 15. Hannom PM, Wein AJ: Clinical Manual of Urology. Second edition. McGraw-Hill International Editions 1994; 470-47; 792-93.
• 16. Reynard J, Brewster J, Biers S: Oksfordzki podręcznik Urologii. Wyd. II. Wydawnictwo Czelej 2011; 301-02, 500-01.
• 17. Key E: Kirurgiska sektionens forhandlingar. Hygiea Stockh 1914; 76: 501.
• 18. Radford PJ, Greatorex PA: Torsion of a malignant undescended testis mimicking appendicitis. Br J Clin Pract 1992; 46: 209-13.
• 19. Candiaz FJ, Sack-Solomon K: An infant with testicular torsion in the inguinal canal. PediatrRadiol 2003; 33: 722-24.
• 20. Miller FH, Whitney WS, Fitzgerald SW et al.: Seminomas Complicating Undescended Intraabdominal Testes in Patients with Prior Negative Findings from Surgical Exploration. AJR 1999; 172: 425-28.
• 21. Osime OC, Momoh MI, Elusoji SO: Torsed Intraabdominal Testis: A rarely Considered Diagnosis. Cal J Emerg Med 2006; 7(2): 31-33.
• 22. Charendoff MD, Ballon HC, Simon MA: Torsion and rupture of an intra-abdominal seminoma. JUrol 1951; 66: 274-79.
• 23. Lee KF, Tang YC, Leong HT: Emergency laparoscopic orchidectomy for torsion of intra-abdominal testis: a case report. J R Coll Surg Edinb 2001; 46(2): 110-12.[PubMed]

Identifiers

DOI

10.2478/v10035-012-0088-y