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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.
EN
The environmental and life-style changes associated with developing industry and agriculture, especially the exposure to endocrine disrupting chemicals (xenobiotics), are considered as causes of the increasing incidence of male reproductive system disorders. Most of the xenobiotics, which harmfully influence the male reproductive system, reveal estrogen-like (xenoestrogens) or anti-androgenic activity. Recent data have revealed physiological roles of estrogens in the male, however, there are evidences that estrogen-like substances may lead to many undesirable symptoms in the male i.e. gonadal dysgenesis, genital malformations, cryptorchidism, decreased fertility potential and testicular neoplastic changes. The number of xenoestrogens is still growing in the environment, whereas the mechanisms of their action are still not exactly known. They can be harmful not only to the present but potentially also to the next generations.
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