Ruptured Seminoma of Undescended Testis Presenting as Acute Abdomen: Case Report with Literature Review

Author(s): Singh P, Bajaj K, Kaur R, Mishra A, Riar HK

We present a case of a 28‑year‑old male who presented with acute abdomen and was later diagnosed to be having ruptured intra‑abdominal seminoma with hemoperitoneum, where the pre‑operative diagnosis was not made. Laprotomy and complete excision were carried out. Rupture of intra‑abdominal testicular seminoma is a rare cause of acute abdomen and hemoperitoneum. The pre‑operative diagnosis is often difficult because history of cryptorchidism is not provided and imaging findings may be non‑specific. In a male patient with acute abdomen and without previous history of orchidectomy, a testicular aetiology of acute abdomen should be kept as the differential diagnosis.