Urology Case Reports (Nov 2022)

Metachronous bilateral spontaneous spermatic vein thrombosis: A rare cause of orchialgia

  • Ibrahim A. Khalil,
  • Hamed Mohammed,
  • Maya Aldeeb,
  • Mohamed Hatem,
  • Ammar Alani,
  • Khalid Al-Jalham

Journal volume & issue
Vol. 45
p. 102234

Abstract

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Scrotal pain and swelling are common presentation, the prompt evaluation and diagnosis is needed due to wide range of causes, uncommon causes of orchialgia should be kept in mind whenever there is no clear diagnosis. Spermatic vein thrombosis usually presents with orchialgia along with episodes of acute exacerbation of pain. The diagnosis is challenging and need high index of suspension and detailed radiological evaluation. We present a case of metachronous bilateral unprovoked spermatic vein thrombosis treated conservatively with anticoagulation with good response and resolution of symptoms.

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