[Seminoma metastasis in the small bowel]

Approximately 95% of testicular cancers are germ-cell tumours and these are divided into non-seminoma and pure seminoma. They rarely metastasize to the gastrointestinal tract (< 5%) and pure seminoma are the least likely to do so with an incidence of < 1%. We describe an unusual case of a 67-year-old man, who presented with gastrointestinal complaints, the first symptoms of testicular seminoma being a small bowel metastasis. The patient had a palpable testicular mass which was not detected until after the tumour in the small bowel had been resected and histology revealed metastasis from a seminoma.