What is thrombosed varicocele?

Spontaneous thrombosis of varicocele is a rare cause of acute scrotal pain. Pain out of proportion to clinical features is characteristic of this condition. Spontaneous thrombus in varicoceles not responding to adequate (7-10) medical therapy need varicocelectomy. Varicocelectomy produces immediate pain relief.

Can you see varicocele on ultrasound?

In few cases, ultrasound may detect varicoceles when physical exam is difficult due to the patient’s anatomy, or when other findings lead a physician to order a scrotal ultrasound. Large varicoceles can often be seen with the naked eye, or a patient can feel something resembling a “bag of worms” in their scrotum.

What does a varicocele look like on ultrasound?

Signs of varicoceles on ultrasound are veins that are wider than 3 millimeters with blood flowing the wrong way during the Valsalva maneuver. The ultrasound can also show the size of the testicles.

Can varicocele cause clots?

Blockage of the veins can be caused by blood clots, tumors, enlarged lymph nodes, or compression between other blood vessels. Varicoceles are similar to varicose veins, which occur in the legs.

Is it normal to have spider veins on your balls?

Many men experience varicose veins in the scrotum, also known as varicoceles, without ever developing any symptoms that are bothersome enough to require treatment. However, in some cases it is necessary to remove varicose veins in the scrotum in order to relieve the symptoms they cause.

Is there a thrombosis in the left varicocele?

There is a moderate-sized left varicocele with echogenic debris demonstrated within the dilated left veins. Color Doppler flow within the left varicocele is significantly diminished and increased minimally with the Valsalva maneuver. Findings are consistent with a left varicocele thrombosis.

What is a varicocele and what causes it?

A varicocele is caused by dilatation of the pampiniform plexus that drains the testicle They occur more commonly on the left side. Thrombosis of a varicocele is very rare. Patients may present with acute scrotal pain mimicking a testicular torsion or strangulated hernia.

How is thrombosed varicocele treated post-operative?

Five cases of post-operative and five cases of spontaneous thromboses have been described till date. The traditional advice in the management of thrombosed varicocele has been to manage it conservatively in all patients by drugs and scrotal support with little description of the surgical treatment.

What causes acute scrotal pain in varicocele?

Spontaneous thrombosis of varicocele is a rare cause of acute scrotal pain. Pain out of proportion to clinical features is characteristic. Patients not responding to medical therapy may need varicocelectomy. Varicocelectomy may give immediate relief. Histopathology is useful in this disorder. Acute scrotal pain has multiple aetiologies.