Abstract
BackgroundCryptorchidism 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 presentationHere 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.ConclusionThis 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.
Highlights
BackgroundCryptorchidism is the absence of one or both testes from the scrotum [1]. It is the most common birth defect of the male genitalia [2], with a prevalence of 3% in the full-term male neonate as compared to 30% in preterm neonates [3]
Cryptorchidism is the most common congenital malformation of the male genitourinary tract
Several factors have been discovered to predispose to cryptorchidism including prematurity, low birth weight, small for gestational age, twinning, and maternal cigarette smoking and alcohol consumption during pregnancy [4]
Summary
Cryptorchidism is the absence of one or both testes from the scrotum [1]. It is the most common birth defect of the male genitalia [2], with a prevalence of 3% in the full-term male neonate as compared to 30% in preterm neonates [3]. Case presentation A 40-year-old Fulbe man from the Adamawa region of Cameroon presented to the out-patient department of our institution with a complaint of a progressively increasing non-tender abdominal mass associated with pollakiuria for approximately 2 months prior to consultation. He is a farmer with no chronic medical condition or past surgeries. The tumor was divided into lobules by interconnecting thin fibrovascular septa containing a mild, patchy, mixed, inflammatory exudate All these were suggestive of a seminoma on an undescended testis (Fig. 3). At the time of submission of this manuscript we had not yet received feedback from either our patient or the oncologist
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