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Query: UMLS:C0000727 (acute abdomen)
 3,084 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We report a rare case of a retroperitoneal germ cell tumor in a 31 years old male who presented with an acute abdomen. He gave a six-months history of back pain and significant weight loss. Clinical examination and ultrasound of the testes didn't show any primary focus. Intraoperative findings showed a retrolperitoneal midline mass that has ruptured into the peritoneal cavity and has invaded into the duodenum. The final pathology revealed a yolk sac tumor. We present this rare case of a primary para-aortic extragonadal yolk sac tumor and the differential diagnosis of a retroperitoneal mass.
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PMID:A ruptured retroperitoneal germ cell tumor with invasion into the duodenum: a case report. 2008 27

Germ cell tumors which arise mainly in pediatric and adolescent age group, account for 30% of all ovarian tumors, but constitute only 5% of all malignant ovarian tumors. The presentation is usually insidious with the patient presenting with abdominal swelling and dull aching pain. We report a rare case of a malignant germ cell tumor in a 12-year-old girl who presented with acute abdomen due to spontaneous rupture of tumor resulting in hemoperitoneum. The patient was taken up for emergency laparotomy and left salpingo-opherectomy with omentectomy and drainage of hemoperitoneum was done. The authors conclude that ruptured malignant ovarian tumor should be considered in the differential diagnosis of any young girl presenting with abdominal mass and acute abdominal pain.
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PMID:Ruptured Malignant Ovarian Tumor in an Adolescent Girl: A Rare Case Report. 2890 Mar 33