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

Intratesticular Varicocele Associated with Ipsilateral Extratesticular Varicocele

• Cho JM
• Moon KT
• Kim HS
• Kang JY
• Yoo TK
• Lee SW

• KMID: 1780490
• DOI: http://doi.org/10.4111/kju.2009.50.8.822

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

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  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.

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  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.

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