An unusual varicocele due to spontaneous arteriovenous fistula

Romagnoli, Andrea; Bertolotto, Franco; Carmignani, G.

doi:10.1016/j.urology.2004.08.017

Cited by 4 publications

(2 citation statements)

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“…Pathophysiologically, adolescent varicocele is believed to be part of the normal physiologic changes that occur during puberty, in which the increased testicular blood flow results in overperfusion and venous anomalies 1 . However, varicocele accompanying an arteriovenous fistula is very rare; only four cases including the present one have so far been reported 2–4 . Of these four cases, iatrogenic arteriovenous fistula was found in two (50.0%) and a spontaneous fistula in two (50.0%), including the present case (Table 1).…”

Section: Discussionmentioning

confidence: 52%

Varicocele complicating spontaneous arteriovenous fistula

et al. 2008

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Abstract:We describe herein a rare case of a varicocele complicating spontaneous arteriovenous fistula. A 40-year-old man was referred to our hospital in November 2006, complaining of a non-tender mass in the left scrotum at the age of 15 and thereafter. On examination, his left scrotum revealed a large varicocele, but no manifest superficial thrill was noted. Scrotal ultrasonograpy revealed approximately 7 cm large varicocele. Computed tomography angiography revealed the existence of an arteriovenous fistula between the left testicular artery and the veins of the left pampiniform plexus. We laparoscopically carried out internal spermatic vessels ligation under the diagnosis of a varicocele complicating a spontaneous arteriovenous fistula. The postoperative course was uneventful. At 18 months postoperatively, the varicocele and fistula had not recurred.

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Section: Discussionmentioning

confidence: 52%

Varicocele complicating spontaneous arteriovenous fistula

et al. 2008

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“…Rarely, this malformation may present as a variocele [6]. The fistulae usually present soon after the original insult and regresses in 2-20 months.…”

Section: Discussionmentioning

confidence: 99%

Delayed presentation of arteriovenous fistula 20 years after blunt renal trauma

2007

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Delayed hematuria following blunt trauma is rare but can be significant. We describe an unusual delayed presentation of renal arteriovenous fistula following blunt trauma.A gentleman presented with hematuria and clot colic. Following initial investigations, renal arteriography showed an arteriovenous fistula in the mid-pole of the right kidney. The fistula was successfully occluded by super-selective coil embolization. Although this case is an unusual presentation, AV fistulae must be ruled out in management of patients of hematuria.

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