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Varicocele complicating spontaneous arteriovenous fistula
Author(s) -
Minei Sadatsugu,
Minamida Satoru,
Dobashi Masato,
Ishii Junichiro,
Minei Sadanori,
Irie Akira
Publication year - 2008
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.1442-2042.2008.02191.x
Subject(s) - varicocele , medicine , scrotum , arteriovenous fistula , fistula , angiography , surgery , radiology , ligation , infertility , pregnancy , genetics , biology
We describe herein a rare case of a varicocele complicating spontaneous arteriovenous fistula. A 40‐year‐old man was referred to our hospital in November 2006, complaining of a non‐tender mass in the left scrotum at the age of 15 and thereafter. On examination, his left scrotum revealed a large varicocele, but no manifest superficial thrill was noted. Scrotal ultrasonograpy revealed approximately 7 cm large varicocele. Computed tomography angiography revealed the existence of an arteriovenous fistula between the left testicular artery and the veins of the left pampiniform plexus. We laparoscopically carried out internal spermatic vessels ligation under the diagnosis of a varicocele complicating a spontaneous arteriovenous fistula. The postoperative course was uneventful. At 18 months postoperatively, the varicocele and fistula had not recurred.