Testicular teratoma in scrotal trauma: a case report


  • Sergio A. Anguiano-García Department of General Surgery, Hospital Regional Salamanca, Petroleos Mexicanos, Salamanca, Guanajuato, México https://orcid.org/0000-0002-3362-9169
  • Andrea Ledesma-Blanhir Department of Healthcare, Hospital Christus Muguerza, Monterrey, Nuevo Leon, México




Testicular cancer, Testicular trauma, Cancer, Teratoma, Acute scrotum, Pure teratoma


Testicular teratoma as first described by Virchow in 1863 may be one of the oldest known tumours. Patients usually course asymptomatic, early signs consist of testicular enlargement. We present a case of a male patient in his fourth decade of life with no prior documentation of testicular enlargement, he suffers from scrotal trauma presenting, pain, dysuria, scrotal swelling and nausea. Tumoral markers were normal and ultrasound revealed right testicle with cystic degeneration and malignant aspect. Radical orchiectomy was performed revealing a pure testicular teratoma. This disease may change its presentation, and there’s no prior report of diagnose after trauma, so understanding the disease, symptoms, sings and tools for diagnose may help to provide an appropriate management. 


Michalski W, Jonska-Gmyrek J, Poniatowska G, Stelmasiak P, Nietupski K, Sadowska M et al. Testicular teratomas: a growing problem? Med Oncol. 2018;35(12):153.

Bustamante-Marin X, Garness J, Caper B. Testicular teratomas: an intersection of pluripotency, differentiation, and cancer biology Int J Dev Biol. 2013;57(2-4):201-10.

Damjanov I, Wewer-Albrechts N. Testicular germ cell tumors and related research from a historical point of view. Int J Dev Biol. 2013;57(2-4):197-200.

American Cancer society. Fact sheet: Testicular Cancer. 2023. Available at: https://www.cancer.org/cancer/types/testicular-cancer.html. Accessed on 22 August, 2023.

Nicol D, Berney D, Boormans JL, di Nardo D, Frankhauser CD, Fischer S. EUA Guidelines on Testicular Cancer. 2023 EAU Guidelines Office, Arnhem, The Netherlands. 2023. Available at: http://uroweb.org/guidelines/compilations-of-all-guidelines/. Accessed on 22 August, 2023.

Sanseverino R, Baio R, Addeso M, Napodano G, DiMauro U, Intilla O et al. “Burned-out” syndrome of testicular teratoma: A case report. Molecular and Clinical Oncology. 2021;15(6);262.

Alghamdi HM. Metastatic testicular retroperitoneal teratoma in an adult: Case report. International Journal of Surgery Case Rep. 2019;60;133-6.

Carver BS, Al-Ahmadie H, Sheinfeld J. Adult and Pediatric Testicular Teratoma. Urol Clin N Am. 2007;34(2);245-51.

Ibrahim D, Sun H. Somatic Malignant Transformation of a Testicular Teratoma: A Case Report. And an Unusual Presentation. Case Rep Pathol. 2019;5273607:1-5.






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