Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Gastrointestinal Medicine
Volume 2017, Article ID 4789259, 5 pages
https://doi.org/10.1155/2017/4789259
Case Report

Gastrointestinal Involvement of Testicular Germ Cell Tumor: A Case Report and Literature Review

1Department of Internal Medicine, Reading Health System, Sixth Avenue and Spruce Street, West Reading, PA 19611, USA
2Hospitalist Services, Reading Health System, Sixth Avenue and Spruce Street, West Reading, PA 19611, USA
3Department of Pathology, Reading Health System, Sixth Avenue and Spruce Street, West Reading, PA 19611, USA

Correspondence should be addressed to Oluwaseun Shogbesan; gro.htlaehgnidaer@nasebgohs.nuesawulo

Received 3 July 2017; Accepted 6 September 2017; Published 10 October 2017

Academic Editor: Yoshihiro Moriwaki

Copyright © 2017 Oluwaseun Shogbesan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Testicular germ cell tumors (GCT) are the commonest solid tumors in young men. Typical presentation is with painless scrotal swelling; however, symptoms related to complications or metastasis may be the initial presentation. Gastrointestinal (GI) metastasis is seen in about 5% of patients with germ cell tumors and presentation is commonly with GI bleed. It is important to have GCT as a differential diagnosis of GI bleed in young men presenting with unexplained anemia as direct questioning about scrotal swelling and genital examination when appropriate will guide further investigation and facilitate prompt diagnosis. We present a case of a 26-year-old man with testicular germ cell tumor and severe anemia secondary to extension and perforation of duodenum by retroperitoneal metastasis and a review of the literature on the gastrointestinal manifestations of testicular germ cell tumors.