Naushad Beg M A.
Undescended testis and a large abdominal mass.
J Surg Pak Jan ;7(1):42-3.

A married man of 25 years was referred with a large hypogastric mass. History and examination revealed that the patient had abdominal distention for the last one month and slight abdominal pain for the last 15 days. A palpable intraabdominal mass was found in hypogastrium. It was firm, nontender, nonpulsatile, measuring 10 to 15 cms arising from the pelvis and filling nearly the whole lower abdomen. Inguinal orifices were clear and liver, spleen and kidneys were non palpable. Genital examination showed an absent right testis while the left testis was normal. Ultrasound examination revealed a well defined, mixed echogenicity mass, occupying almost the whole of lower abdomen and pelvis. Exact origin could not be determined. Other investigations showed a normal serum beta HCG and alpha fetoprotein. There was raised alkaline phosphatase of 1520 u/L. Laparotomy was done and a well encapsulated mass arising from pelvis and occuyping both iliac fossa and extending upto the umbilicus, loosely adherent to the surrounding gut found. Histopathology report revealed as multiple blocks from the tumor mas taken but all show completely necrotic tissue.

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