Varicocele - grade 4
Citation, DOI, disclosures and case data
At the time the case was submitted for publication Ian Bickle had no recorded disclosures.View Ian Bickle's current disclosures
Medical assessment for work. Left paratesticle mass. Cause?
Loading Stack -
0 images remaining
Multiple dilated serpingeous vessels superior to the upper pole of the left testicle. These measure upto 4mm even in the supine postion.
Avid doppler flow within. The appearances are exaggerated during standing and the Valsala maneourve. No flow reversal.
Normal right hemiscrotum.
These are the classical appearances of a varicocele. A varicocoele is the dilatation of the pampiniform plexus of veins, a network of many small veins found in the male spermatic cord.
This is the appearance of the so-called 'bag of worms' felt clinically on examination.
The veins were dilated even in the supine resting position in keeping with a Grade 4 varicocele.
1 article features images from this case
9 public playlists include this case
- Abdo - Adult Clinical Conditions - Male Reproductive Tract by Charlie Handley
- FRANZCR 03 Abdo by AMIRSALEH JAFARI
- Endocrine and repro tutorial by Maria Tsakok
- Uroradiology teaching pack by Ian Bickle ◉
- GUT by Khush Bakht
- A NEW US by Abdullah Hajar
- Male reproductive by Mohammed Bilal Mohammed Numan
- Genital and Urinary Ultrasound by Gunnar Andrésson
- UQ Radiology video tutorial: Abdo: Testicular pathology by Craig Hacking ◉ ◈