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Journal of Medical Case Reports
Published in: Journal of Medical Case Reports 1/2008

Open Access 01-12-2008 | Case report

Testicular seminoma presenting with duodenal perforation: a case report

Authors: Ranko Miocinovic, Ronney Abaza

Published in: Journal of Medical Case Reports | Issue 1/2008

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Abstract

Introduction

Testicular neoplasms metastasizing to the retroperitoneum rarely involve the upper gastrointestinal tract. Gastrointestinal tract metastases usually present with complications including intestinal obstruction, gastrointestinal hemorrhage, and rarely ulceration of the bowel mucosa.

Case presentation

We describe an unusual case of duodenal perforation as the presenting manifestation of metastatic classic type seminoma in a 45-year-old man.

Conclusion

Germ cell tumor diagnosis should be considered when an ulcerating small bowel mass is identified in a young man.
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Literature
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Sweetenham JW, Whitehouse JM, Williams CJ, Mead GM: Involvement of the gastrointestinal tract by metastases from germ cell tumors of the testis. Cancer. 1988, 61: 2566-2570. 10.1002/1097-0142(19880615)61:12<2566::AID-CNCR2820611230>3.0.CO;2-D.CrossRefPubMed
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Chait M, Kurtz RC, Hajdu SI: Gastrointestinal tract metastases in patients with germ cell tumor of the testis. Dig Dis. 1978, 23: 925-928. 10.1007/BF01072468.CrossRef
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Miller TT, Mendelson DS, Wu LT, Halton KP: Seminoma of the testis presenting as an ulcerating mass of the duodenum. Clin Imaging. 1992, 16: 201-203. 10.1016/0899-7071(92)90052-B.CrossRefPubMed
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Thompson JL, Blute ML: Coffee ground emesis: rare presentation of testicular cancer treated with neoadjuvant chemotherapy. Urology. 2004, 64 (2): 376-377. 10.1016/j.urology.2004.04.022.CrossRefPubMed
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Metadata
Title
Testicular seminoma presenting with duodenal perforation: a case report
Authors
Ranko Miocinovic
Ronney Abaza
Publication date
01-12-2008
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2008
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-2-294

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