Right-sided varicocele thrombosis complicating an acute epididymo-orchitis: A case report and review of the literature

Hamdouni, Wadii; Bchir, Slim; Abidi, Mansour; Boukhrissa, Nouha; Ktari, Kamel; Saad, H.

doi:10.1016/j.eucr.2021.101710

Cited by 5 publications

(11 citation statements)

References 4 publications

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“…This is only the fourth documented case of bilateral thrombosis. Previous cases have not been related temporally to an intra‐abdominal operation making this case unique 1–7 . Pampiniform plexus thrombosis can occur at any age group; however, the median age in case reports is around 33 2 .…”

Section: Figurementioning

confidence: 92%

“…The aetiology of most previous case reports was considered spontaneous 1 . The proposed aetiologies of provoked thromboses include hypercoagulability, malignancy, trauma, inflammation, heavy exercise, urinary tract infection (UTI) and epididymo‐orchitis 1,2,7 . These act by mechanisms described in Virchow's triad which include hypercoagulability, stasis and endothelial injury 8 .…”

Section: Figurementioning

confidence: 99%

“…Previous cases have not been related temporally to an intra-abdominal operation making this case unique. [1][2][3][4][5][6][7] Pampiniform plexus thrombosis can occur at any age group; however, the median age in case reports is around 33. 2 The aetiology of most previous case reports was considered spontaneous.…”

mentioning

confidence: 99%

“…1 The proposed aetiologies of provoked thromboses include hypercoagulability, malignancy, trauma, inflammation, heavy exercise, urinary tract infection (UTI) and epididymo-orchitis. 1,2,7 These act by mechanisms described in Virchow's triad which include hypercoagulability, stasis and endothelial injury. 8 This patient had a negative thrombophilia screen, negative STI and UTI screen and no history of recent trauma.…”

mentioning

confidence: 99%

“…Previous case studies largely agree that conservative management of analgesia and anti-inflammatory medications should be the mainstay of therapy. 1,2,[5][6][7] Despite similarity to deep venous thrombosis or pulmonary embolism, anti-platelet agents or anticoagulants are variably utilized across published case reports of thrombosed varicoceles. If pain is ongoing and severe despite conservative management, varicocelectomy should be considered.…”

mentioning

confidence: 99%

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Acute testicular pain after laparoscopic appendicectomy: a rare case of provoked bilateral thrombosed varicoceles

Bennett

March

Whelan

et al. 2021

ANZ Journal of Surgery

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Section: Figurementioning

confidence: 92%

Section: Figurementioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Acute testicular pain after laparoscopic appendicectomy: a rare case of provoked bilateral thrombosed varicoceles

Bennett

March

Whelan

et al. 2021

ANZ Journal of Surgery

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Association between left‐sided varicocele and epididymo‐orchitis with sonographic findings

Atay,

Toprak,

Akcay

et al. 2024

J of Clinical Ultrasound

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ObjectiveThe aim of this study was to investigate the relationship between left‐sided varicocele and epididymitis or epididymo‐orchitis.Materials and MethodsThe study included 72 patients with left side epididymitis (EP) or epididymo‐orchitis (EPO) (Group 1) and a control group of 72 patients without EP or EPO (Group 2). Those with right EP‐EPO were excluded due to possible other underlying retroperitoneal pathologies causing varicocele. Groups were evaluated for presence of left side varicocele, varicocele grade and pampiniform plexus vein diameter.ResultsThe average age was 38 ± 8.4 years (range, 18–50 years) in Group 1, and 36 ± 9.1 years (range, 16–47 years) in Group 2. Varicocele was significantly more common in patients with EP or EPO (p < .001). The rate of varicocele was 66.7% (48/72) in Group 1, and 22.3% (16/72) in Group 2. The median grade of varicocele was 2 in Group 1, and 0 in Group 2. Pampiniform plexus vein diameters were found to be significantly larger in patients with EP or EPO compare to patients without EP and EPO. The median vein diameter was 3.3 mm with the 25th and 75th percentiles at 2.7 and 3.8 mm, and was 1.9 mm with the 25th and 75th percentiles at 1.7 and 2.3 mm, respectively (p < .001).ConclusionsLeft‐sided varicocele was significantly more common in patients with EP or EPO and it is an important cause for the development of EP/EPO because of chronic venous stasis.

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Spontaneous bilateral pampiniform plexus thrombosis in a teenager

Chan,

Li,

Goh

et al. 2024

BMJ Case Rep

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Spontaneous pampiniform plexus thrombosis is an extremely rare condition. Its aetiology and pathophysiology are unknown, and its diagnosis remains challenging. We present the first case of an adolescent patient with bilateral spontaneous pampiniform plexus thrombosis. He presented with a 2-day history of bilateral testicular pain. Biochemical investigations were unremarkable, and the patient did not have any risk factors. Ultrasound of the scrotum demonstrated bilateral pampiniform plexus thrombosis. He was managed conservatively and repeat scrotal ultrasound 3 months later revealed complete resolution. This case adds to the minimal literature on spontaneous pampiniform plexus thrombosis, supporting diagnosis via scrotal ultrasound while recommending conservative management without the use of anticoagulation for patients with no pre-existing coagulopathy.

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Right-sided varicocele thrombosis complicating an acute epididymo-orchitis: A case report and review of the literature

Cited by 5 publications

References 4 publications

Acute testicular pain after laparoscopic appendicectomy: a rare case of provoked bilateral thrombosed varicoceles

Acute testicular pain after laparoscopic appendicectomy: a rare case of provoked bilateral thrombosed varicoceles

Association between left‐sided varicocele and epididymo‐orchitis with sonographic findings

Spontaneous bilateral pampiniform plexus thrombosis in a teenager

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