Scrotal varicocele

Case contributed by Michael P. Hartung
Diagnosis almost certain

Presentation

Abdominal discomfort

Patient Data

Age: 35 years
Gender: Male
ct
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
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Info

Bulky, contrast-opacified left scrotal varices. Otherwise, there were no significant findings in the abdomen or pelvis.

Case Discussion

A simple case of bulky left scrotal varices on CT is helpful to review to ensure that this is not over-called an enhancing scrotal mass. Evaluation for causes of varices can also be helpful, as CT can be used to rule out pelvic/retroperitoneal adenopathy or other pathology that may be impeding the flow of venous return through the gonadal veins.

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