Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Testicular seminoma presenting with duodenal perforation: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Testicular seminoma presenting with duodenal perforation a case report Ranko Miocinovic and Ronney Abaza Address Department of Urology Dowling Hall 2nd floor University of Toledo Medical Center 3065 Arlington Avenue Toledo OH 43614 USA Email Ranko Miocinovic - Ronney Abaza - Corresponding author Published 9 September 2008 Received 24 November 2007 Journal of Medical Case Reports 2008 2 294 doi 1752-1947-2-294 Accepted 9 September 2008 This article is available from http content 2 1 294 2008 Miocinovic and Abaza licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Testicular neoplasms metastasizing to the retrope ritoneum 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. Introduction Testicular germ cell tumor metastasis to the upper gastrointestinal GI tract is uncommon 5 and its likelihood is related to the histologic type of the primary neoplasm 1 . Non-seminomatous germ cell tumors are much more likely to spread to the gastrointestinal GI tract than seminomas 2 . In their series of 25 patients with GI tract involvement Chait et al. reported the primary neoplasms to be combinations of embryonal .
