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Unilateral Giant Varicocele Mimicking Inguinal Hernia Resulting from Portosystemic Shunt without Evidence of Portal Hypertension: An Unusual Case Report

Isolated giant varicocele has been reported with portal hypertension that results in abnormal communication between portal venous system and testicular vein venous system resulting in retrograde backflow of blood into the testicular venous system which leads to varicosity of the pampiniform plexuses...

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Autores principales: Zahir, Muhammed, Al Muttairi, Hassan R., Upadhyay, Surjya Prasad, Mallick, Piyush N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3600278/
https://www.ncbi.nlm.nih.gov/pubmed/23533916
http://dx.doi.org/10.1155/2013/709835
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author Zahir, Muhammed
Al Muttairi, Hassan R.
Upadhyay, Surjya Prasad
Mallick, Piyush N.
author_facet Zahir, Muhammed
Al Muttairi, Hassan R.
Upadhyay, Surjya Prasad
Mallick, Piyush N.
author_sort Zahir, Muhammed
collection PubMed
description Isolated giant varicocele has been reported with portal hypertension that results in abnormal communication between portal venous system and testicular vein venous system resulting in retrograde backflow of blood into the testicular venous system which leads to varicosity of the pampiniform plexuses. 65-year-old male with no past medical or surgical history presented to us with soft inguinoscrotal swelling that disappears on lying down mimicking inguinal hernia. Clinical examination revealed soft inguionoscrotal swelling that disappears on pressure. Ultrasonography revealed varicosity of pampiniform plexus, and CT angiography to trace the extent of the varicosity revealed abnormal communication of right testicular vein with superior mesenteric vein. There was no evidence of any portal hypertension; the cause of the portosystemic shunt remains obscure, and it might be a salvage pathway for increasing portal pressure. The case is noteworthy for its rare presentation and abnormal communication with portal venous system in the absence of evidence of portal hypertension.
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spelling pubmed-36002782013-03-26 Unilateral Giant Varicocele Mimicking Inguinal Hernia Resulting from Portosystemic Shunt without Evidence of Portal Hypertension: An Unusual Case Report Zahir, Muhammed Al Muttairi, Hassan R. Upadhyay, Surjya Prasad Mallick, Piyush N. Case Rep Surg Case Report Isolated giant varicocele has been reported with portal hypertension that results in abnormal communication between portal venous system and testicular vein venous system resulting in retrograde backflow of blood into the testicular venous system which leads to varicosity of the pampiniform plexuses. 65-year-old male with no past medical or surgical history presented to us with soft inguinoscrotal swelling that disappears on lying down mimicking inguinal hernia. Clinical examination revealed soft inguionoscrotal swelling that disappears on pressure. Ultrasonography revealed varicosity of pampiniform plexus, and CT angiography to trace the extent of the varicosity revealed abnormal communication of right testicular vein with superior mesenteric vein. There was no evidence of any portal hypertension; the cause of the portosystemic shunt remains obscure, and it might be a salvage pathway for increasing portal pressure. The case is noteworthy for its rare presentation and abnormal communication with portal venous system in the absence of evidence of portal hypertension. Hindawi Publishing Corporation 2013 2013-02-28 /pmc/articles/PMC3600278/ /pubmed/23533916 http://dx.doi.org/10.1155/2013/709835 Text en Copyright © 2013 Muhammed Zahir et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Zahir, Muhammed
Al Muttairi, Hassan R.
Upadhyay, Surjya Prasad
Mallick, Piyush N.
Unilateral Giant Varicocele Mimicking Inguinal Hernia Resulting from Portosystemic Shunt without Evidence of Portal Hypertension: An Unusual Case Report
title Unilateral Giant Varicocele Mimicking Inguinal Hernia Resulting from Portosystemic Shunt without Evidence of Portal Hypertension: An Unusual Case Report
title_full Unilateral Giant Varicocele Mimicking Inguinal Hernia Resulting from Portosystemic Shunt without Evidence of Portal Hypertension: An Unusual Case Report
title_fullStr Unilateral Giant Varicocele Mimicking Inguinal Hernia Resulting from Portosystemic Shunt without Evidence of Portal Hypertension: An Unusual Case Report
title_full_unstemmed Unilateral Giant Varicocele Mimicking Inguinal Hernia Resulting from Portosystemic Shunt without Evidence of Portal Hypertension: An Unusual Case Report
title_short Unilateral Giant Varicocele Mimicking Inguinal Hernia Resulting from Portosystemic Shunt without Evidence of Portal Hypertension: An Unusual Case Report
title_sort unilateral giant varicocele mimicking inguinal hernia resulting from portosystemic shunt without evidence of portal hypertension: an unusual case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3600278/
https://www.ncbi.nlm.nih.gov/pubmed/23533916
http://dx.doi.org/10.1155/2013/709835
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