Unusual combination of bilateral testicular microlithiasis and tubular ectasia of the rete testis with left intra‐ and extratesticular varicocele in a 17‐year‐old boy

We describe the rare combination of testicular microlithiasis, unilateral intra/extratesticular varicocele, and tubular ectasia of the rete testis in a 17‐year‐old boy who presented with testicular pain following a trauma. He had a prior history of undescended testis and orchiopexy in childhood. His workup included a normal abdominal ultrasound and a sperm analysis demonstrating a low sperm count with sperm dysmotility. A follow‐up ultrasound was unchanged, and he has been managed conservatively. This combined set of findings has not been previously reported. © 2011 Wiley Periodicals, Inc. J Clin Ultrasound, 2012