Malignancy in an Undescended Intra-abdominal Testis: a Single Institution Experience

Unusual presentation of an intra-abdominal testicular seminoma in an adult

“…3 While confined in the abdomen, testicular tumors can reach considerable sizes before being diagnosed. In a series of 10 patients, Gupta et al 2 reported a mean tumor size of 9 cm. Our patient's tumor was within this range and measured 7 cm.…”

“…Undescended testis is associated with an 3.7–7.5 increased risk of cancerous degeneration which typically occurs in the 3rd to 4th decade of life. 2 The intra-abdominal location is particularly rare with less than 10 cases of abdominal testicular tumors being reported before 2019. 3 While confined in the abdomen, testicular tumors can reach considerable sizes before being diagnosed.…”

“…Symptoms consist mainly of abdominal pain, abdominal mass, difficulty in micturition and constipation. 2 In some cases, patients can present with acute complications such as torsion or hemorrhage. 4 Our patient however presented with isolated left flank pain, probably due to hydronephrosis, which is an unusual symptom in this context.…”

“… 1 However, when undiagnosed, an undescended testicle is at increased risk for cancerous degeneration which is revealed in adulthood at advanced stages. 2 …”

Fistulous communication with bowel loop: a rare presentation of intra-abdominal seminoma

“…When testes could not be palpated along the inguinoscrotal descent tract, the two possibilities to be considered are either testicular agenesis or an intraabdominal testis. Research has shown that intra-abdominal testis carries the highest risk for malignancy, which is four times higher than that of a scrotal testis [3].…”