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Retroperitoneal seminoma, a rare cause of testicular pain
Shivani Joshi1, Vernon Sivarajah2
1Department of General Surgery, West Hertfordshire Hospitals NHS Trust, Watford, Hertfordshire, UK.
Abstract:
Extragonadal retroperitoneal seminomas are a rare cause of testicular pain in males. We report the case of a 46-year-old man, who presented with right-sided testicular pain, clinically mimicking testicular torsion. The patient underwent a scrotal exploration, which revealed normal testes. He went on to have a contrast-enhanced CT abdomen and pelvis, which revealed a 55 mm para-aortic mass, displacing the duodenum and inferior vena cava, with an adjacent 22 mm lymph node. Histological analysis revealed that it was a seminoma.
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