PMC4147661_01
Tumor, after opening the inguinal canal.
gr1.jpg
PMC4147661_01_gr1.jpg
fig0005
Separation of hernial sac from the spermatic cord was initiated, however, due to a very large infiltration, it turned out to be impossible (Fig. 1).
Intestinal lumen narrowed by the tumor.
gr2.jpg
PMC4147661_01_gr2.jpg
fig0010
The release of the testis and spermatic cord from the infiltration was impossible to conduct, so it was necessary to excise both structures in one block (Fig. 2).
Metastases in ultrasonography.
gr3.jpg
PMC4147661_01_gr3.jpg
fig0015
The postoperative abdominal ultrasound examination revealed multiple nodules changes in the liver with suspicion of a central necrosis (Fig. 3), most likely of a metastatic nature.