Key result
Metastatic undescended testis teratoma presents as acute PE with intracaval extension into the right atrium.
Why the study?
Metastatic malignant teratoma from an undescended testis presenting with acute pulmonary embolism is a unique clinical scenario requiring detailed description of presentation, diagnosis, and treatment.
Case Report (n=1)
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Raises awareness for testicular tumors in young men with PE and undescended testis; leaves open optimal management of intracardiac extensions.
We report a unique case of metastatic malignant teratoma from an undescended testis which presented with acute pulmonary embolism. After chemotherapy, the undescended right testicle was resected along with a cord of non- obstructing inferior venal caval tumour which extended into the right atrium with tumour floating free within the atrium at the end of the cord of tumour. The presentation, diagnosis and treatment of testicular tumours is described and the literature pertaining to testicular tumours in military personnel reviewed.
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Barton et al. (2005) conducted a case report in Metastatic malignant teratoma from an undescended testis presenting with acute pulmonary embolism (n=1). Chemotherapy and surgical resection was evaluated. A unique case of metastatic malignant teratoma from an undescended testis presented with acute pulmonary embolism and an inferior vena caval tumor extending into the right atrium.
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