Intratesticular varicocele is a rare entity seen as dilated intratesticular veins usually seen in relation to the mediastinum testis. It is usually seen in the presence of ipsilateral extratesticular varicocele.

Most of the reported cases of intratesticular varicocle occur on the left side as is the case with extratesticular varicocele. The testicular pain is attributed to the stretching of tunica albuginea after active and passive congestion and dilatation of veins ¹.

The three commonly recognisable patterns of intratesticular varicocele on ultrasound studies are:

• tubular (most common)
• cystic
• mixed

Increased incidence is noted in men who had undergone prepubertal orchidopexy for acquired undescended testis ².