Related Experiment Video
Updated: Jun 27, 2026

Combined Supine and Standing Imaging for Varicocele: An Improved Diagnostic Approach
Published on: November 22, 2024
A varicocoele mimicking a hydrocoele in a man with portal hypertension: a case report
George Yardy1, Akkib Rafique, Iain Sellers
1Department of Urology, Addenbrooke's Hospital, Cambridge, UK. georgeyardy@doctors.org.uk
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.
Related Concept Videos
Portal Hypertension
Esophageal Varices-I: Introduction
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Varicose Veins I: Introduction
Varicose Veins II: Diagnostic Studies and Interprofessional Care
Hiatal Hernia

