{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:48:04Z","timestamp":1756385284456,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,7,28]]},"abstract":"<jats:p>The most common malignancy in young men is a germ cell tumour of the testes. Metastatic renal disease is relatively uncommon and usually manifests in the retroperitoneal lymph nodes. Visceral metastases to the liver, and metastases to the lungs and the brain are more common. Few large studies characterising patients with germ cell tumours and associated renal metastases have yet been published. We report an unusual case of successful management, through demolitive surgery, of a 22-year-old male patient affected by spontaneous intrarenal rupture of metastases secondary to testicular cancer. The patient was admitted to our urology department due to recurrent episodes of haematuria and clinical symptoms of persistent hypotension.<\/jats:p>","DOI":"10.1136\/bcr-2017-223990","type":"journal-article","created":{"date-parts":[[2018,8,9]],"date-time":"2018-08-09T09:57:12Z","timestamp":1533808632000},"page":"bcr-2017-223990","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Renal germ cell metastatic tumour with rupture, bleeding and syncope: an unusual clinical presentation in a young patient"],"prefix":"10.1136","volume":"2018","author":[{"given":"Simone","family":"Scarcella","sequence":"first","affiliation":[{"name":"Urology, University Hospital \u201cOspedali Riuniti\u201d, Ancona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucio","family":"Dell\u2019Atti","sequence":"additional","affiliation":[{"name":"Urology, University Hospital \u201cOspedali Riuniti\u201d, Ancona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea Benedetto","family":"Galosi","sequence":"additional","affiliation":[{"name":"Urology, University Hospital \u201cOspedali Riuniti\u201d, Ancona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,8,9]]},"reference":[{"key":"2025082623012087000_2018.aug09_2.bcr-2017-223990.1","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.urology.2009.05.068","article-title":"A solitary seminoma renal metastasis presenting as an incidental renal mass","volume":"75","author":"Hadley","year":"2010","journal-title":"Urology"},{"key":"2025082623012087000_2018.aug09_2.bcr-2017-223990.2","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1159\/000092938","article-title":"Clinicopathological features predicting nodal metastasis of testicular seminoma: results from 100 cases in a single institute","volume":"77","author":"Sato","year":"2006","journal-title":"Urol Int"},{"key":"2025082623012087000_2018.aug09_2.bcr-2017-223990.3","doi-asserted-by":"crossref","first-page":"3979","DOI":"10.1002\/1097-0142(19930615)71:12<3979::AID-CNCR2820711230>3.0.CO;2-R","article-title":"Symptomatic renal metastasis from testicular cancer","volume":"71","author":"Kramer","year":"1993","journal-title":"Cancer"},{"key":"2025082623012087000_2018.aug09_2.bcr-2017-223990.4","first-page":"153","article-title":"[Renal metastasis of classic seminoma]","volume":"81","author":"Castel\u00e1n-Maldonado","year":"2013","journal-title":"Cir Cir"},{"key":"2025082623012087000_2018.aug09_2.bcr-2017-223990.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0302-2838(03)00252-5"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-223990","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:01:29Z","timestamp":1756274489000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-223990"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,9]]},"references-count":5,"alternative-id":["10.1136\/bcr-2017-223990"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-223990","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,8,9]]}}}