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J Med Case Rep. 2008 Dec 04;2:363. doi: 10.1186/1752-1947-2-363.

A varicocoele mimicking a hydrocoele in a man with portal hypertension: a case report.

Journal of medical case reports

George Yardy, Akkib Rafique, Iain Sellers, Lawrence Berman, Nigel Bullock

Affiliations

  1. Department of Urology, Addenbrooke's Hospital, Cambridge, UK. [email protected]

PMID: 19055797 PMCID: PMC2612684 DOI: 10.1186/1752-1947-2-363

Abstract

INTRODUCTION: Hydrocoele is a condition frequently encountered in adult urological practice. It is usually of benign aetiology and often diagnosed on clinical grounds. Surgical repair, if indicated, is generally straightforward.

CASE PRESENTATION: We report a 53-year-old man with liver cirrhosis and clinical features of a hydrocoele, in whom flow was demonstrated using Doppler ultrasonography in the fluid around the testis, which communicated via varices with the left renal vein.

CONCLUSION: In this patient with misleading clinical signs, diagnosis was established radiologically. Had surgery proceeded without this investigation, significant intra-operative bleeding would have been likely.

References

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  2. Int J Urol. 2005 Sep;12(9):852-4 - PubMed
  3. J Ultrasound Med. 1985 Jun;4(6):297-305 - PubMed

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