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Varicocele

Case contributed by Augusto César Vieira Teixeira
Diagnosis certain

Presentation

Patient with left vague scrotal discomfort.

Patient Data

Age: 35 years
Gender: Male
ultrasound

Dilatation of the veins of the pampiniform plexus of the left testis. Spectral Doppler, +/- Valsalva maneuver, demonstrates the existence of a reflux of >1 second in duration with a velocity of 12.25 cm/s.

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