Premium
Surgery is inadvisable: Massive varicocele due to portal hypertension
Author(s) -
SCHULTEBAUKLOH HEINRICH,
KÄMMER JÖRG,
FELFE RAINER,
STÜRZEBECHER BURKARD,
KNISPEL HELMUT H
Publication year - 2005
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2005.01170.x
Subject(s) - medicine , varicocele , portal hypertension , hydronephrosis , surgery , seminoma , radiology , anatomy , urinary system , cirrhosis , infertility , pregnancy , genetics , chemotherapy , biology
The pathophysiology of idiopathic varicoceles as a dilatation of the pampiniform venous plexus has been traced to anatomical and embryological development, but is still unclear. Right or non‐decompressible lesions are worrisome for retroperitoneal pathology, such as renal cell carcinoma, hydronephrosis, abdominal neoplasm or fibrosis. As a very rare finding we describe a patient who presented with an exorbitant left sided varicocele due to portal hypertension. We were well advised to avoid surgery.