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Varicocele rupture due to sexual intercourse
Yasuhiro Nishiyama1, Atsushi Nagai, Yasutomo Nasu
1Department of Urology, Okayama University Graduate School of Medicine and Dentistry, Okayama 700-8558, Japan.
Summary
Varicocele rupture, a rare event, occurred in a young man after intercourse, causing scrotal swelling and pain. Diagnosis involved Doppler ultrasonography showing blood flow into the testicular space and spermatic vein reflux.
Area of Science:
- Urology
- Radiology
- Andrology
Background:
- Varicocele, a condition involving enlarged veins in the scrotum, can rarely lead to complications.
- Understanding the pathophysiology of varicocele rupture is crucial for accurate diagnosis and management.
Observation:
- A 23-year-old male presented with acute left scrotal swelling and pain post-sexual intercourse.
- Clinical examination suggested a possible scrotal emergency requiring prompt investigation.
Findings:
- Color Doppler ultrasonography confirmed varicocele rupture.
- Imaging revealed extravasation of blood into the scrotal sac, forming a hematoma.
- Significant reflux in the left spermatic vein was also observed, indicative of vascular compromise.
Implications:
- Varicocele rupture is an exceedingly rare diagnosis, with only five prior cases documented globally.
- This case highlights the importance of considering varicocele rupture in the differential diagnosis of acute scrotal pain.
- Prompt diagnostic imaging is essential for timely intervention and management of this rare condition.