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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

MORALES, Juan L.; OLMOS-DE-AGUILERA, Romina; SANCHEZ, Cristóbal  y  SAEZ, Diego. Retroperitoneal hematoma debut as testicular cancer. Rev Chil Cir [online]. 2017, vol.69, n.5, pp.416-420. ISSN 0718-4026.  http://dx.doi.org/10.1016/j.rchic.2016.11.006.

Introduction:

Retroperitoneal hematoma (RH) is a rare disease with high morbidity, being complicated when presented with pain and hypovolemic shock.

Case report:

Male, 20 years old, no morbid history. Arrive to Emergency Service for abdominal pain in the left flank radiating to the back and ipsilateral testis, 6 h of evolution, sudden onset, high intensity; pacient pale, hemodynamically stable without signs of peritoneal irritation. Pielo-TC is requested on suspicion of ureteral stones showing extensive RH, likely ruptured aortic aneurysm. CT angiography reports RH and adjacent preceding left iliopsoas, 20 × 11 × 8.5 cm, volume 972 cc, retroperitoneal bleeding bilateral para-aortic lymphadenopathy and multiple bilateral pulmonary nodules suggestive of secondary spread. Hard right testicle with normal size, testicular ultrasound pointing solid cystic mass, suggestive of organic lesion.

Discussion:

Trauma and tumor pathology are the main causes of RH. Testicular cancer usually occurs in young patients, requiring early referal and study because of its rapid progression. In our case, the HR was an imaging finding, highlighting that the bleeding of a cluster of lymph nodes is anecdotal.

Palabras clave : Hematoma; Retroperitoneal space; Testicular neoplasms.

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