Varicocele Secondary to Spermatic Cord Hematoma Related to Blunt Trauma
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A secondary varicocele caused by spermatic cord hematoma has not been reported. This paper presents a 17-year-old patient with varicocele secondary to spermatic cord hematoma related to blunt trauma. Ultrasonography immediately after the injury revealed a hematoma surrounding the spermatic vessels at the level of the left inguinal area where he had been kicked. Distal to the spermatic cord hematoma, the spermatic vessels began to dilate, and their maximum resting diameter was up to 8 mm. Six-months after the injury, ultrasonography still showed a varicocele, and the testosterone level was below the normal range. After a varicocelectomy, ultrasonography revealed a significant decrease in the size of the spermatic vessels, and the testosterone level returned to normal. This case suggests that a varicocele due to trauma might not be a self-limiting disease and can be treated by a varicocelectomy and hematoma removal.
Abstract
A secondary varicocele caused by spermatic cord hematoma has not been reported. This paper presents a 17-year-old patient with varicocele secondary to spermatic cord hematoma related to blunt trauma. Ultrasonography immediately after the injury revealed a hematoma surrounding the spermatic vessels at the level of the left inguinal area where he had been kicked. Distal to the spermatic cord hematoma, the spermatic vessels began to dilate, and their maximum resting diameter was up to 8 mm. Six-months after the injury, ultrasonography still showed a varicocele, and the testosterone level was below the normal range. After a varicocelectomy, ultrasonography revealed a significant decrease in the size of the spermatic vessels, and the testosterone level returned to normal. This case suggests that a varicocele due to trauma might not be a self-limiting disease and can be treated by a varicocelectomy and hematoma removal.
참고문헌 (14)
- Takasu A, "Spermatic cord injury associated with blunt trauma", Am J Emerg Med, 23, pp.806~807 (2005)
- Rabkin RN, "Traumatic false aneurysm of the spermatic artery : a case report", J Urol, 100, pp.50~51 (1968)
- Gordon JN, "A spermatic cord hematoma secondary to varicocele rupture from blunt abdominal trauma : a case report and review", J Urol, 149, pp.602~603 (1993)
- Kumar S, "Traumatic organized hematoma of the spermatic cord", J Urol, 126, pp.275~276 (1981)
- Mohammed A, "Testicular varicocele : an overview", Urol Int, 82, pp.373~379 (2009)
- Raheem OA, "Surgical management of adolescent varicocele : systematic review of the world literature", Urol Ann, 5, pp.133~139 (2013)
- Petrocelli F, "Varicocele due to post-traumatic arteriovenous fistula", Urology, 115, pp.e1~e2 (2018)
- Nishiyama Y, "Varicocele rupture due to sexual intercourse", Int J Urol, 12, pp.585~587 (2005)
- Polackwich AS, "Asymptomatic postpubertal male with equally sized normal testicles with palpable left varicocele", Asian J Androl, 18, pp.310~ (2016)
- Laven JS, "Effects of varicocele treatment in adolescents : a randomized study", Fertil Steril, 58, pp.756~762 (1992)
- Paduch DA, "Repair versus observation in adolescent varicocele : a prospective study", J Urol, 158(3 Pt 2), pp.1128~1132 (1997)
- Cayan S, "The effect of varicocele repair on testicular volume in children and adolescents with varicocele", J Urol, 168, pp.731~734 (2002)
- Sathya Srini V, "Does varicocelectomy improve gonadal function in men with hypogonadism and infertility? Analysis of a prospective study", Int J Endocrinol, 2011, pp.916380~ (2011)
- 정재민, "Current Issues in Adolescent Varicocele: Pediatric Urological Perspectives", The World Journal of Men's Health, 36(2), pp.123~131 (2018), 대한남성과학회