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Spontaneous rupture of a retroperitoneal lymph node metastasis causing massive hemorrhage in a patient with advanced mixed germ cell tumor

Luiz Henrique Corrêa Portari Filho, Tiago Aparecido Silva, Pedro Rodrigues Beal and 2 more

Urology Case Reports · 2022

doi:10.1016/j.eucr.2022.102180 (opens in a new tab)

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Abstract

Retroperitoneal hemorrhage is a rare and life-threatening clinical presentation that may occur in patients with advanced germ cell tumors, typically after chemotherapy. Rapid clinical suspicion is crucial to offer the best treatment. Surgery is usually recommended but dismal complications may occur. We report on a man with metastatic testicular cancer presenting with massive spontaneous retroperitoneal hemorrhage that had not received previous systemic treatment and was managed without surgical treatment, with good clinical outcome.

Abstract licence: CC BY-NC

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