TITLE:
Testicular Seminoma and Peritonitis about One Case at the Yalgado Ouedraogo University Hospital of Ouagadougou
AUTHORS:
Nayi Zongo, Moussa Bazongo, Mamadou Windsouri, Mousa Kaboré, Edgar Ouangré, Maurice Zida, Aimé Sosthène Ouédraogo, Aboubacar Hirrhum Bambara, Augustin Tozoula Bambara, Si Simon Traore, Ahmadou Dem
KEYWORDS:
Seminoma, Testicle, Peritonitis, Treatment, Prognosis
JOURNAL NAME:
Open Journal of Urology,
Vol.5 No.12,
December
18,
2015
ABSTRACT: Introduction: Testicular seminoma is a
highly lymphophilic germ cell tumor. It is the most common germ cell tumor in
young adults. We are reporting one case of testicular seminoma complicated with
an acute generalized peritonitis (AGP), in order to describe the circumstances
of diagnosis and discuss about treatment. Observation: It involved a
39-year-old patient, admitted for vague abdominal pains that were evolving
since 72 hours with a history of right orchiectomy because of testicular
seminoma in 2011. The analysis revealed a peritoneal syndrome, a right inguinal
lymphadenopathy of 10 cm diameter and an empty right scrotum. The exploration
revealed fistulized necrotic retro-peritoneal lymphadenopathies in the
peritoneal cavity and ileal perforation on contact with these
lymphadenopathies. Necrosectomy and ileal resections were performed. After the
operation, the scanner revealed a conglomeration of retro-peritoneal
adenomegalies extending to the right femoral region associated with bilateral
pleurisy. The β-HCG and the LDH were 8000 IU/L and 24,500 IU/L, respectively.
The seminoma was ranked T3N3M1. The immediate post-operative care was
uneventful. The patient was lost from sight for a month and was readmitted in a
context of alteration of his general condition. He died before the end of the
pre-chemotherapeutic assessment. Conclusion: Scrotal mass is the usual way of
revelation of testicular seminoma. In poorly followed-up cases, exceptional
complications such as peritonitis may occur and are direct consequences of poor
prognosis.