DOI: 10.36347/sjmcr.2020.v08i10.008

Pages: 898-900

Choriocarcinoma are neoplasms that develop from testicular germ cells in humans. Testicular choriocarcinoma metastases are often hemorrhagic, mainly from the brain or lungs. Digestive metastasis is a rare and have a poor prognosis when they bleed. We report the observation of a young patient of 36 years, hospitalized for melena of average abundance, evolving in a context of general condition alteration, the radiological assessment discovers an intestinal intussusception with a peritoneal effusion of average abundance, hepatic and pulmonary nodules of probably metastatic origin. The urogenital examination finds an enlarged left testicle, the ultrasound confirms the presence of testicular nodules and the head of the epididymis of tumor-like appearance, the blood dosage of the hormone HCG is high, the patient underwent a median laparotomy with left inguinal orchiectomy, the anatomopathological and immunohistochemical study confirms the diagnosis of testicular choriocarcinoma. The frequency of atypical choriocarcinoma metastases is very low and treatment is mainly based on chemotherapy.