TY -的A2 -森胁,喜田岛盟——Salazar-Mejia卡洛斯•爱德华多AU - Hernandez-Barajas大卫盟——Llerena-Hernandez Edio盟——Gonzalez-Vela Jose Luis盟——Contreras-Salcido Maria Ines AU - Gonzalez-Gutierrez,阿德里亚娜AU - Borjas-Almaguer,奥马尔·大卫盟——Perez-Arredondo Luis Alberto盟——Wimer-CastilloBlanca Otilia PY - 2017 DA - 2017/11/06 TI -睾丸癌呈胃静脉曲张出血表现SP - 4510387vl - 2017 AB -睾丸癌是最常见的实体恶性肿瘤，影响15至35岁男性。根据转移部位的不同，这种肿瘤引起的症状学有所不同。我们现在的情况下，26岁的男性谁到达急诊室呕血。他之前没有病史。到达时，我们发现左侧阴囊肿大。左侧阴囊也有肿块，导致阴茎和右侧睾丸移位。血清甲胎蛋白为17090 ng/mL，乳酸脱氢酶为1480 U/L，人绒毛膜促性腺激素为287.4 IU/mL。上内窥镜显示1型孤立性胃静脉曲张，用氰基丙烯酸酯治疗。CT显示门静脉淋巴结肿大压迫门静脉，脾静脉部分血栓形成，导致左侧门静脉高压。 Neoadjuvant chemotherapy was started with etoposide and cisplatin, and seven days later the patient underwent left radical orchiectomy. A postoperative biopsy revealed a pure testicular teratoma. Noncirrhotic left portal hypertension with bleeding from an isolated gastric varix secondary to metastasic testicular cancer has not been described before. Clinicians must consider the possibility of malignancy in the differential diagnosis of a young man presenting with unexplained gastrointestinal bleeding. SN - 2090-6528 UR - https://doi.org/10.1155/2017/4510387 DO - 10.1155/2017/4510387 JF - Case Reports in Gastrointestinal Medicine PB - Hindawi KW - ER -