Urogenit Tract Infect.  2020 Dec;15(3):79-82. 10.14777/uti.2020.15.3.79.

Varicocele Secondary to Spermatic Cord Hematoma Related to Blunt Trauma

• Park YW
• Lee JH

• KMID: 2510472
• DOI: http://doi.org/10.14777/uti.2020.15.3.79

Abstract

A secondary varicocele caused by spermatic cord hematoma has not been reported. This paper presents a 17-year-old patient with varicocele secondary to spermatic cord hematoma related to blunt trauma. Ultrasonography immediately after the injury revealed a hematoma surrounding the spermatic vessels at the level of the left inguinal area where he had been kicked. Distal to the spermatic cord hematoma, the spermatic vessels began to dilate, and their maximum resting diameter was up to 8 mm. Six-months after the injury, ultrasonography still showed a varicocele, and the testosterone level was below the normal range. After a varicocelectomy, ultrasonography revealed a significant decrease in the size of the spermatic vessels, and the testosterone level returned to normal. This case suggests that a varicocele due to trauma might not be a self-limiting disease and can be treated by a varicocelectomy and hematoma removal.

Keyword

Varicocele; Spermatic cord; Hematoma; Trauma; Testosterone