Case 42242

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Abstract
Presentation of CaseA forty-seven-year-old man entered the hospital because of swelling of the left testis.During a routine examination two weeks before admission a painless swelling of the left testis and an abdominal mass in the right lower quadrant were noted. For about fifteen years he had noted "pus" in the urine at the end of voiding in association with "prostate trouble." Except for an occasional, transient pain in the right lower quadrant there were no abdominal symptoms.Forty-three years previously an appendectomy was performed. Because of apparent sequelae two additional operations were done. Three years before entry he . . .

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