Abstract

NOTARIO BARBA, Verónica; MAGALLANES GAMBOA, Jeffrey Oskar  and  VIANA ALONSO, Antonio. Vomiting. Rev Clin Med Fam [online]. 2020, vol.13, n.3, pp.226-229.  Epub Nov 23, 2020. ISSN 2386-8201.

Vomiting is a frequent complaint. Most times it is caused by benign conditions. However, it can also be the initial symptom of serious and complex illnesses, such as neoplastic processes with central nervous system involvement, where vomiting is the result of increased intracranial pressure. Testicular cancer accounts for 1% of all neoplasms, and is the most frequent malignancy in men between 15 and 34 years. Choriocarcinoma accounts for 0.3-1% of testicular neoplasms, and it is considered the rarest of all and the one with the worst prognosis due to rapid spread. Most cases begin with symptoms related to the metastases. We present the case of a 16-year-old patient with dizziness and vomiting. His pulmonary auscultation was pathological, so a chest x-ray was performed, showing right pneumothorax and multiple pulmonary nodules. Further study showed elevated B-HCG and a nodular lesion in testicular ultrasound. Metastatic lesions responsible for the vomiting were found in the brain CT. A biopsy of an ulcerated lesion of the scalp showed metastasis of testicular choriocarcinoma.

Keywords : Vomiting; Choriocarcinoma, Non-gestational; Testicular Neoplasms.

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