{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T04:56:49Z","timestamp":1775624209238,"version":"3.50.1"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,3,14]]},"abstract":"<jats:p>A 39-year-old man presented with a 2-day history of worsening constant, dull diffuse lower abdominal pain with associated constipation and known history of left undescended testicle. He was evaluated at an outside hospital where a non-contrasted CT scan revealed a 20\u2009cm well-circumscribed soft tissue mass within the pelvis.<\/jats:p>\n               <jats:p>He was referred and further imaging revealed a 12\u2009cm heterogeneous mass with foci of air that appeared to be contiguous with the left spermatic cord. This constellation of findings could represent torsion of undescended left testicle with infarction or underlying malignancy. Tumour markers were only significant for elevated lactate dehydrogenase of 1445. A subsequent ultrasound-guided biopsy of the mass demonstrated seminoma.<\/jats:p>\n               <jats:p>Surgical resection revealed a large intra-abdominal mass emanating from the left spermatic cord with 270\u00b0 of torsion. There appeared to be a left atrophic remnant testicle at the base of the mass with final pathology confirming the diagnosis of classic seminoma.<\/jats:p>","DOI":"10.1136\/bcr-2017-222670","type":"journal-article","created":{"date-parts":[[2018,3,29]],"date-time":"2018-03-29T02:20:13Z","timestamp":1522290013000},"page":"bcr-2017-222670","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Large intra-abdominal seminoma in a left undescended testicle complicated by torsion"],"prefix":"10.1136","volume":"2018","author":[{"given":"Elizabeth","family":"Rourke","sequence":"first","affiliation":[{"name":"Department of Urology, University of Texas Health Science Center, San Antonio, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilda","family":"Digman","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Texas Health Science Center, San Antonio, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Gourley","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Texas Health Science Center, San Antonio, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dharam","family":"Kaushik","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Texas Health Science Center, San Antonio, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,3,28]]},"reference":[{"key":"2025082805180210000_2018.mar28_2.bcr-2017-222670.1","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1007\/s12262-014-1132-4","article-title":"Torsion of a giant intra-abdominal testicular seminoma presenting as acute abdomen","volume":"77","author":"Hussain","year":"2015","journal-title":"Indian J Surg"},{"key":"2025082805180210000_2018.mar28_2.bcr-2017-222670.2","doi-asserted-by":"crossref","first-page":"983","DOI":"10.3892\/mco.2016.829","article-title":"Giant seminoma in an undescended testicle metastasizing to the neck and liver","volume":"4","author":"Guo","year":"2016","journal-title":"Mol Clin Oncol"},{"key":"2025082805180210000_2018.mar28_2.bcr-2017-222670.3","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1007\/s00261-007-9219-z","article-title":"Seminoma in undescended testis","volume":"33","author":"Lim","year":"2008","journal-title":"Abdom Imaging"},{"key":"2025082805180210000_2018.mar28_2.bcr-2017-222670.4","unstructured":"Classic Seminoma. American Urological Association - classic seminoma. 2017. http:\/\/www.auanet.org\/education\/educational-programs\/e-learning\/pathology-for-urologists\/testis\/germ-cell-tumors\/classic-seminoma (accessed 15 Aug 2017)."},{"key":"2025082805180210000_2018.mar28_2.bcr-2017-222670.5","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/2011.4.9"},{"key":"2025082805180210000_2018.mar28_2.bcr-2017-222670.6","doi-asserted-by":"crossref","first-page":"71","DOI":"10.7439\/ijbar.v6i1.1495","article-title":"Undescended intra abdominal testis","volume":"6","author":"Agrawal","year":"2015","journal-title":"Inter J Biomed and Advance Res"},{"key":"2025082805180210000_2018.mar28_2.bcr-2017-222670.7","doi-asserted-by":"crossref","first-page":"1572","DOI":"10.14260\/jemds\/426","article-title":"Chemotherapy response in undescended (seminoma) testis- a case report","volume":"2","author":"Kumar","year":"2013","journal-title":"J Evolu medi Dental Sci"},{"key":"2025082805180210000_2018.mar28_2.bcr-2017-222670.8","doi-asserted-by":"crossref","unstructured":"Dong W , Gang W , Liu M , et al . Analysis of the prognosis of patients with testicular seminoma. Oncology Letters 2015.","DOI":"10.3892\/ol.2015.4065"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-222670","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:18:10Z","timestamp":1756383490000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-222670"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,28]]},"references-count":8,"alternative-id":["10.1136\/bcr-2017-222670"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-222670","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,28]]}}}