Korean J Urol.  2009 Aug;50(8):822-824. 10.4111/kju.2009.50.8.822.

Intratesticular Varicocele Associated with Ipsilateral Extratesticular Varicocele

Affiliations
  • 1Department of Urology, Eulji University School of Medicine, Seoul, Korea. swlee8306@eulji.ac.kr

Abstract

Intratesticular varicocele is a rare entity and refers to a dilated intratesticular vein radiating from the mediastinum testis into the testicular parenchyma. A 22-year-old man was admitted to our hospital with left testicular pain. On physical examination, a grade III varicocele was noted on the left side. Gray-scale ultrasound and color Doppler ultrasound examinations revealed intratesticular and extratesticular varicocele. The patient underwent spermatic vein ligation by open modified Palomo varicocelectomy.

Keyword

Varicocele; Ultrasonography

MeSH Terms

Humans
Ligation
Mediastinum
Physical Examination
Testis
Varicocele
Veins
Young Adult

Figure

  • Fig. 1 Gray-scale and color Doppler ultrasound. (A) Gray-scale ultrasound longitudinal scan of testis at rest reveals tubular, straight hypoechoic structures extending from the mediastinum. (B) Color Doppler image during the Valsalva maneuver showing abnormal blood flow.

  • Fig. 2 (A) Gray scale image 6 months following spermatic vein ligation. (B) Color Doppler flow during the Valsalva maneuver with the patient supine 6 months after spermatic vein ligation.


Reference

1. Mehta AL, Dogra VS. Intratesticular varicocele. J Clin Ultrasound. 1998. 26:49–51.
2. Pourbagher MA, Guvel S, Pourbagher A, Kilinc F. Intratesticular varicocele: report of two cases. Int J Urol. 2003. 10:231–232.
3. Morvay Z, Nagy E. The diagnosis and treatment of intratesticular varicocele. Cardiovasc Intervent Radiol. 1998. 21:76–78.
4. Das KM, Prasad K, Szmigielski W, Noorani N. Intratesticular varicocele: evaluation using conventional and Doppler sonography. AJR Am J Roentgenol. 1999. 173:1079–1083.
5. Vasilios S, Charalampos L, Elias P, Agelos K, Koutoulidis V, Lampros V. Ultrasound findings of an intratesticular varicocele. Report of a new case and review of the literature. Int Urol Nephrol. 2006. 38:115–118.
6. Atasoy C, Fitoz S. Gray-scale and color Doppler sonographic findings in intratesticular varicocele. J Clin Ultrasound. 2001. 29:369–373.
7. Bucci S, Liguori G, Amodeo A, Salame L, Trombetta C, Belgrano E. Intratesticular varicocele: evaluation using grey scale and color Doppler ultrasound. World J Urol. 2008. 26:87–89.
8. Tetreau R, Julian P, Lyonnet D, Rouviere O. Intratesticular varicocele: an easy diagnosis but unclear physiopathologic characteristics. J Ultrasound Med. 2007. 26:1767–1773.
9. Diamond DA, Roth JA, Cilento BG, Barnewolt CE. Intratesticular varicocele in adolescents: a reversible anechoic lesion of the testis. J Urol. 2004. 171:381–383.
10. Demirbas M, Ellergezen A, Bllen CY, Boyvat F. Intratesticular varicocele treated with percutaneous embolization. Urology. 2001. 58:1058.
Full Text Links
  • KJU
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr