Presentation
Dull ache in the left scrotum
Patient Data
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
Scrotal ultrasound: dilated, tortuous veins of the left pampiniform plexus with reflux demonstrated on Valsalva manoeuvre.
Therefore a left-sided testicular varicocele was demonstrated as the likely cause of the patient's symptoms.
The left testicular vein drains into the left renal vein (LRV). Extrinsic compression of the LRV is a potential cause of back pressure leading to a left testicular varicocele. The left renal vein passes between the superior mesenteric artery (SMA) and aorta (the left renal vein could not be demonstrated in the region between the SMA/aorta and the inferior vena cava).