Unilateral Giant Varicocele Mimicking Inguinal Hernia Resulting from Portosystemic Shunt without Evidence of Portal Hypertension: An Unusual Case Report
Isolated giant varicocele has been reported with portal hypertension that results in abnormal communication between portal venous system and testicular vein venous system resulting in retrograde backflow of blood into the testicular venous system which leads to varicosity of the pampiniform plexuses...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2013/709835 |
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| author | Muhammed Zahir Hassan R. Al Muttairi Surjya Prasad Upadhyay Piyush N. Mallick |
| author_facet | Muhammed Zahir Hassan R. Al Muttairi Surjya Prasad Upadhyay Piyush N. Mallick |
| author_sort | Muhammed Zahir |
| collection | DOAJ |
| description | Isolated giant varicocele has been reported with portal hypertension that results in abnormal communication between portal venous system and testicular vein venous system resulting in retrograde backflow of blood into the testicular venous system which leads to varicosity of the pampiniform plexuses. 65-year-old male with no past medical or surgical history presented to us with soft inguinoscrotal swelling that disappears on lying down mimicking inguinal hernia. Clinical examination revealed soft inguionoscrotal swelling that disappears on pressure. Ultrasonography revealed varicosity of pampiniform plexus, and CT angiography to trace the extent of the varicosity revealed abnormal communication of right testicular vein with superior mesenteric vein. There was no evidence of any portal hypertension; the cause of the portosystemic shunt remains obscure, and it might be a salvage pathway for increasing portal pressure. The case is noteworthy for its rare presentation and abnormal communication with portal venous system in the absence of evidence of portal hypertension. |
| format | Article |
| id | doaj-art-a76b3e9e753a47d98c6d1630e04f53a4 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-a76b3e9e753a47d98c6d1630e04f53a42025-02-03T01:02:09ZengWileyCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/709835709835Unilateral Giant Varicocele Mimicking Inguinal Hernia Resulting from Portosystemic Shunt without Evidence of Portal Hypertension: An Unusual Case ReportMuhammed Zahir0Hassan R. Al Muttairi1Surjya Prasad Upadhyay2Piyush N. Mallick3Al Jahra Hospital, Ministry of Health, State of Kuwait, P.O. Box 40206, 01753 Safat, KuwaitAl Jahra Hospital, Ministry of Health, State of Kuwait, P.O. Box 40206, 01753 Safat, KuwaitAl Jahra Hospital, Ministry of Health, State of Kuwait, P.O. Box 40206, 01753 Safat, KuwaitAl Jahra Hospital, Ministry of Health, State of Kuwait, P.O. Box 40206, 01753 Safat, KuwaitIsolated giant varicocele has been reported with portal hypertension that results in abnormal communication between portal venous system and testicular vein venous system resulting in retrograde backflow of blood into the testicular venous system which leads to varicosity of the pampiniform plexuses. 65-year-old male with no past medical or surgical history presented to us with soft inguinoscrotal swelling that disappears on lying down mimicking inguinal hernia. Clinical examination revealed soft inguionoscrotal swelling that disappears on pressure. Ultrasonography revealed varicosity of pampiniform plexus, and CT angiography to trace the extent of the varicosity revealed abnormal communication of right testicular vein with superior mesenteric vein. There was no evidence of any portal hypertension; the cause of the portosystemic shunt remains obscure, and it might be a salvage pathway for increasing portal pressure. The case is noteworthy for its rare presentation and abnormal communication with portal venous system in the absence of evidence of portal hypertension.http://dx.doi.org/10.1155/2013/709835 |
| spellingShingle | Muhammed Zahir Hassan R. Al Muttairi Surjya Prasad Upadhyay Piyush N. Mallick Unilateral Giant Varicocele Mimicking Inguinal Hernia Resulting from Portosystemic Shunt without Evidence of Portal Hypertension: An Unusual Case Report Case Reports in Surgery |
| title | Unilateral Giant Varicocele Mimicking Inguinal Hernia Resulting from Portosystemic Shunt without Evidence of Portal Hypertension: An Unusual Case Report |
| title_full | Unilateral Giant Varicocele Mimicking Inguinal Hernia Resulting from Portosystemic Shunt without Evidence of Portal Hypertension: An Unusual Case Report |
| title_fullStr | Unilateral Giant Varicocele Mimicking Inguinal Hernia Resulting from Portosystemic Shunt without Evidence of Portal Hypertension: An Unusual Case Report |
| title_full_unstemmed | Unilateral Giant Varicocele Mimicking Inguinal Hernia Resulting from Portosystemic Shunt without Evidence of Portal Hypertension: An Unusual Case Report |
| title_short | Unilateral Giant Varicocele Mimicking Inguinal Hernia Resulting from Portosystemic Shunt without Evidence of Portal Hypertension: An Unusual Case Report |
| title_sort | unilateral giant varicocele mimicking inguinal hernia resulting from portosystemic shunt without evidence of portal hypertension an unusual case report |
| url | http://dx.doi.org/10.1155/2013/709835 |
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