PMC7078450_01
Showing mass (arrow).
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Computed tomography of the abdomen (Fig. 1) showed a well-defined heterogenous hypodense mass measuring about 8.5 x 5.5 cm in the pelvis.
Intra-operative view.
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Initial resuscitation was performed and through a midline incision we found a rounded gangrenous perforated mass in the pelvis, attached to the lateral pelvic wall on the right side by a narrow band containing blood vessels and cord-like structure, as shown in (Figs. 2 & 3 ).
Microscopic view showing malignant cells.
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Unfortunately, the pathology revealed testicular mixed germ cell tumor (Fig. 4).