A Case of Testicular Infarct Caused by Cord Compression of Retroperitoneal Liposarcoma Herniating into Inguinal Canal.
- Author:
Byeong Kyu JEON
1
;
Duck Ki YOON
;
Won Ho KIM
Author Information
1. Department of Urology, Han Il General Hospital, Korea.
- Publication Type:Case Report
- Keywords:
Testis;
Infarct;
Liposarcoma
- MeSH:
Abdomen;
Adult;
Emergencies;
Humans;
Inguinal Canal*;
Liposarcoma*;
Male;
Spermatic Cord;
Testis;
Tomography, X-Ray Computed;
Ultrasonography;
Ultrasonography, Doppler, Color
- From:Korean Journal of Urology
1999;40(8):1081-1084
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 40-year-old man attended our hospital with presenting symptoms of an acutely swollen, tender testicle and bulging mass on the inguinal area. Considered it as urgent conditions no demonstrating blood flow to the involved testicle on Color Doppler ultrasonography, we underwent scrotal exploration right away. On operative finding the right testis was so enlarged and engorged secondarily to the irreversible ischemic damage, but torsion of spermatic cord was not found. Another inguinal approach revealed herniated mass protruding from internal inguinal ring and compressing the spermatic cord. For further evaluation abdominal ultrasonography and CT scan was done and huge mass occupying right lower quadrant of abdomen and pelvic cavity was noted. The resected tumor through surgical exploration was proved to be a retroperitoneal liposarcoma pathologically. Herein we report an uncommon case of testicular infarct, mimicking torsion of spermatic cord that is a urological emergency, caused by herniated retroperitoneal mass. So the present report suggest that, when adult men attend with symptoms of acutely swollen painful testicle, we pay a more careful attention to patient,s physical findings and recommend further diagnostic evaluation.
