Bilateral Torsion of Intra-abdominal Seminoma Presenting with Acute Abdomen and Intra-peritoneal Bleeding: A Case Report

Abstract

Seminoma is the most frequently reported tumor in patients with intra-abdominal testicles. In very rare cases, it might present with torsion or rupture. We report a 41-year-old man who presented with acute abdominal pain due to torsion of large bilateral intra-abdominal testicular tumors with rupture of the right-sided mass. Bilateral orchiectomy was performed and histopathological examination revealed bilateral seminoma. Postoperative staging imaging displayed no lymphadenopathy or metastatic lesions. No adjuvant treatment was required and the patient is clinically well and under regular follow-up. This case represents an extremely rare presentation of bilateral testicular cancer with a pleasant outcome.

Keywords

• Bilateral cryptorchidism
• Bilateral seminoma
• Intra-abdominal testicle
• Ruptured seminoma
• Testicular torsion