Spontaneous thrombosis of pampiniform plexus

A case is reported of a spontaneous thrombosis of the left pampiniform plexus. On examination it may be confused for any number of conditions producing spermatic cord enlargements. Surgical intervention is believed to be indicated, not for this specific entity but to rule out some of these other conditions, such as an incarcerated inguinal hernia, torsion of the spermatic cord, or even malignancy.