OJU  Vol.5 No.12 , December 2015
Testicular Seminoma and Peritonitis about One Case at the Yalgado Ouedraogo University Hospital of Ouagadougou
Abstract: Introduction: Testicular seminoma is a highly lymphophilic germ cell tumor. It is the most common germ cell tumor in young adults. We are reporting one case of testicular seminoma complicated with an acute generalized peritonitis (AGP), in order to describe the circumstances of diagnosis and discuss about treatment. Observation: It involved a 39-year-old patient, admitted for vague abdominal pains that were evolving since 72 hours with a history of right orchiectomy because of testicular seminoma in 2011. The analysis revealed a peritoneal syndrome, a right inguinal lymphadenopathy of 10 cm diameter and an empty right scrotum. The exploration revealed fistulized necrotic retro-peritoneal lymphadenopathies in the peritoneal cavity and ileal perforation on contact with these lymphadenopathies. Necrosectomy and ileal resections were performed. After the operation, the scanner revealed a conglomeration of retro-peritoneal adenomegalies extending to the right femoral region associated with bilateral pleurisy. The β-HCG and the LDH were 8000 IU/L and 24,500 IU/L, respectively. The seminoma was ranked T3N3M1. The immediate post-operative care was uneventful. The patient was lost from sight for a month and was readmitted in a context of alteration of his general condition. He died before the end of the pre-chemotherapeutic assessment. Conclusion: Scrotal mass is the usual way of revelation of testicular seminoma. In poorly followed-up cases, exceptional complications such as peritonitis may occur and are direct consequences of poor prognosis.
Cite this paper: Zongo, N. , Bazongo, M. , Windsouri, M. , Kaboré, M. , Ouangré, E. , Zida, M. , Ouédraogo, A. , Bambara, A. , Bambara, A. , Traore, S. and Dem, A. (2015) Testicular Seminoma and Peritonitis about One Case at the Yalgado Ouedraogo University Hospital of Ouagadougou. Open Journal of Urology, 5, 220-223. doi: 10.4236/oju.2015.512035.

[1]   Hachi, H., Bouzidi, A., Bougtab, A., Ottmany, A., Baroudi, C., Tijami, F., et al. (1996) Le séminome spermatocytaire: A propos d’un cas et revue de la littérature. Médecine du Maghreb, 60, 6-8.

[2]   Langlois, C., Danzon, A., Kieffer, Y., Cléro, E. and Bontemps, P. (2005) Séminome testiculaire et risque de 2ème cancer dans le département du Doubs, Registre des tumeurs du Doubs. CHU Besancon, France, 37.

[3]   Thoumas, D., Caty, A., Gobet, F. and Lemaitre, L. (2002) Imagerie des tumeurs du testicule. Journal de Radiologie, 83, 883-893.

[4]   Félix, L., Bricault, I., Stéfani, L., Risse, O., Terrier, N., Ringeisen, F. and Ferretti, G. (2008) Un cancer du testicule révélé par un syndrome appendiculaire et une tumeur kystique rétro péritonéale. Journal de Radiologie, 89, 813-816.

[5]   Ali, A.L.K.E., Toum, F.E.M. and Magzoub, M. (2012) Case Report: Peritonitis Secondary to Necrosis of Intra-Abdo-minal Seminoma in an Undescended Testis. Kassala University Journal, 2, 7-10.

[6]   Tazi, M.F., Riyach, O., Ahsaini, M., Ahallal, Y., Khallouk, A., Fassi, M.J.E. and Farih, M.H. (2013) Tumor in Undescended Intrapelvic Testis Revealed by Supraclavicular Lymphadenopathy: A Case Report and Literature Review. BMC Research Notes, 6, 166.

[7]   Nguyen, M.M., Corr, A.N.S. and Evans, C.P. (2004) Testicular Cancer Metastatic Exclusively to the Brain and Spleen. Urology, 63, 176-176.

[8]   Wehrschütz, M., Stoger, H., Ploner, F., Hofmann, G., Wolf, G., Hofler, G., Krippl, P. and Samonigg, H. (2002) Seminoma Metastases Mimicking Primary Pancreatic Cancer. Onkologie, 25, 371-373.

[9]   Idelevich, E., Kashtan, H., Mavor, E. and Brenner, B. (2006) Small Bowel Obstruction Caused by Secondary Tumors. Surgical Oncology, 15, 29-32.

[10]   Duranda, X., Rigauda, J., Avancèsa, C., Camparoa, P., Fléchona, A., Mureza, T., Sèbea, P., Culineb, S., Iborrab, F., Mottetb, N., Colobyb, P., Soulié, M., et les membres du CCAFU (2013) Recommandations en oncourologie 2013 du CCAFU: Tumeurs germinales du testicule. Progrès en Urologie, 2013, S145-S160.