Torsion of a Giant Intra-abdominal Testicular Seminoma Presenting as Acute Abdomen

Intra-abdominal neoplastic testicular torsion is a very rare clinical condition, which is normally not considered during differential diagnosis of acute abdomen. In any male patient with acute abdominal symptoms and absence of scrotal testis, a high index of suspicion for intra-abdominal testicular torsion should be maintained. An increased diagnostic yield is dependent on an expedient and comprehensive preoperative evaluation. An illustrated case report is presented.