Extratesticular and Intratesticular Varicocele: Sonographic Findings (Case Report)

Abstract

Varicocele is abnormal dilatation with tortuosity of the veins of pampiniform plexus. While extratesticular varicoceles are relatively common disorder, intratesticular varicoceles are very rare. The diagnosis of varicocele is important because it is the most common correctable cause of male infertility. If there is clinical suspicion of varicocele Doppler US and US are the radiological procedure of choice to provide rapid diagnosis. In this case we present ultrasonographic findings of extra with intratesticular varicocele.

Keywords

• -

Ekstratestiküler ve İntratestiküler Varikosel: Sonografik Bulgular (Olgu sunumu)

Öz

Varikosel pampiniform pleksus venlerinin tortuozite ve anormal dilatasyonudur. Ekstra testiküler varikosel sık görülen bir patoloji olmakla birlikte intratestiküler varikosel çok nadirdir. Varikoselin tanısı, erkek infertilitesinin en sık düzeltilebilir nedeni olmasından önemlidir. Klinik olarak varikosel şüphesinde Doppler ultrasonografi ve ultrasonografi hızlı tanı için ilk seçilecek radyolojik görüntüleme yöntemleridir. Biz bu olguda ekstra ve intra testiküler varikosel birlikteliğinin ultrasonografik bulgularını sunduk.

Anahtar Kelimeler

• Varikosel, testis, ultrasonografi, doppler

Kaynakça

1. Gerscovich EO. High-resolution ultrasonography in the diagnosis of scrotal pathology. Normal scrotum and benign disease. J Clin Ultrasound 1993; 21: 355.
2. Wolverson MK, Houttuin E, Heirberg E, Sundaram M, Gregory J. High resolution real-time sonography of scrotal varicocele. AJR 1983; 141:775-779.
3. Mehta AL, Dogra VS. Intra-testicular varicocele. J Clin Ultrasound 1998; 26:49-51.
4. Morvay Z, Nagy E. The diagnosis and treatment of intra- testicular varicocele. Cardiovasc Intervent Radiol 1998; 21:76-78.
5. Kessler A, Meirsdorf S, Graif M, Gottlieb P, Strauss S. Intratesticular Varicocele Gray Scale and Color Doppler Sonographic Appearance. J Ultrasound Med 2005; 24:1711-1716.
6. Shafik A, Bedeir GA. Venous tension patterns in cord veins in normal and varicocele individuals. J Urol 1980; 123:383-385.
7. Ozcan H, Aytac S, Yagci C et al. Color Doppler ultrasonographic findings in intratesticular varicocele. J Clin Ultrasound 1997; 25:325-329.
8. Atasoy C, Fitoz S. Gray-scale and color Doppler sonographic findings in intratesticular varicocele. J Clin Ultrasound 2001; 29:369-373.

9. Saypol DC, Howards SS, Turner TT, Miller ED. Influence of surgically induced varicocele on testicular blood flow, temperature and histology in adult rats and dogs. J Clin Invest 1981; 68:39.
10. Coolsaet BL. The varicocele syndrome: venography determining the optimal level for surgical management. J Urol 1980; 124:833- 839.
11. Weiss AJ, Kellman GM, Middleton WD, Kirkemo A. Intratesticular varicocele: sonographic findings in two patients. AJR 1992; 158:1061-1063.
12. Das KM, Prasad K, Szmigielski W, Noorani N. Intratesticular varicocele: evaluation using conventional and sonography. AJR 1999; 173:1079-1083. Doppler
13. Demirbas M, Ellergezen ABI, Ien CY, Boyvat F. Intratesticular varicocele treated with percutaneous embolization. Urology 2001; 58:1058.
14. Kabul Tarihi: 31.03.2008