Background: Cryptorchidism is the most common congenital malformation of the male genitourinary tract. The cryptorchid testis is most often located in the inguinal canal; however, intra-abdominal locations are not rare. The risk of malignancy in an undescended testis is 10% with the highest risk in an intra-abdominal testis. Case presentation: Here we describe a case of a 40-year-old fertile man of Fulbe origin who presented with a non-tender lower abdominal mass of 2 months' duration. A scrotal examination revealed just one testis in the right scrotum, with the contralateral scrotum and inguinal canal being empty. An exploratory laparotomy followed by tumor excision and histopathology revealed a testicular seminoma. Conclusion: This case report highlights the need for routine scrotal examination in all men presenting with an abdominal mass so as to rule out the possibility of an intra-abdominal seminoma.
CITATION STYLE
Nkembe, M. N., Mvalo, C. M., Tianyi, F. L., & Demba, C. (2019). Ambiguous presentation of an intra-abdominal testicular seminoma in a 40-year-old man: A case report. Journal of Medical Case Reports, 13(1). https://doi.org/10.1186/s13256-018-1917-3
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