Abstract
IntroductionTesticular germ cell tumors are the most common malignancies in men. Testicular torsion is also a scrotal phenomenon seen in adolescence and adulthood. The co-occurrence of these two scrotal disorders is extremely rare.Case presentationA 28-year-old East Asian man presented at our hospital with painless bilateral scrotal swelling. Both scrotal ultrasonography and computed tomography findings showed bilateral testicular tumors, and magnetic resonance imaging demonstrated a lack of enhancement in his right testis, indicating a hemorrhagic infarction and a left testicular tumor. After a bilateral orchiectomy, the intraoperative and histopathological findings revealed a left seminoma with a complicating contralateral testicular torsion that had developed with hemorrhagic infarction.ConclusionTesticular germ cell tumor with contralateral torsion is extremely rare. We could differentiate this case from bilateral testicular tumors appropriately using magnetic resonance imaging, and suggest that magnetic resonance imaging examination may be necessary to diagnose bilateral testicular masses.
Highlights
Testicular germ cell tumors are the most common malignancies in men
The scrotal disorders seemed to suggest bilateral Testicular germ cell tumors (TGCTs) as a differential diagnosis, but corrective treatment was possible with the aid of magnetic resonance imaging (MRI)
Pelvic contrast-enhanced computed tomography (CT) demonstrated that his right testis was normal in size with decreased enhancement, whereas his left testis was much larger with heterogeneous enhancement (Figure 1). These findings seemed to suggest bilateral TGCTs as a differential diagnosis, but his right testis did not have typical features of a TGCT; we examined his bilateral testes with MRI
Summary
Testicular germ cell tumor with contralateral torsion is extremely rare. We could differentiate this case from bilateral testicular tumors appropriately using magnetic resonance imaging, and suggest that magnetic resonance imaging examination may be necessary to diagnose bilateral testicular masses.
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