Önder YAMAN, Eriz ÖZDEN, Berkan REŞORLU, Asım ÖZAYAR, Mesut YEŞİL

Bilateral intratestiküler varikosel

İntratestiküler varikosel (İTV) mediastinum testisten testis parankimine uzanan intratestiküler venlerin anormal dilatasyonu olarak tanımlanır. Oldukça nadir görülen bir durumdur ve literatürde sınırlı sayıda olgu bildirilmiştir. Özellikle sol tarafta lokalize intratestiküler kist, neoplazi, hematom ve fokal enfeksiyonların ayırıcı tanısında göz önünde bulundurulmalıdır. Bu yazıda skrotal ağrı ve şişlik ile başvuran ve yapılan renkli doppler ultrasonografi sonrası bilateral intratestiküler varikosel tanısı konulan 22 yaşında bir erkek hasta olgusu sunulmuştur.

Bilateral intratestikuler varikosel

Intratesticular varicocele (ITV) is described as dilated intratesticular veins radiating from the mediastinum testis into the testicular parenchyma.It is a very rare entity and a limited number of cases have been reported previously. It should be considered in the differantial diagnosis of intratesticular cyst, neoplasm, hematoma and focal infection especially localized at the left side. In this paper, we report a case of 22 years old man who presented with scrotal pain and mass and after scrotal color doppler ultrasonography diagnosed as bilateral intratesticular varicocele.

PDF

___

1. Skoog S, Roberts KP, Goldstein M et al. The adolescent varicocele: What’s new with an old problem in young patients? Pediatrics 1997; 100:112-121.
2. Weiss AJ, Kellman GM, Middleton WD et al. Intratesticular varicocele: sonographic findings in two patients. AJR Am J Roentgenol 1992; 158:1061.
3. David AD, Jonathan AR, Bartley GC et al. Intratesticular varicocele in adolescents: A reversible anechoic lesion of testis. J Urol 2004; 171:381-383.
4. Gerscovich EO. High-resolution ultrasonography in the diagnosis of scrotal pathology. Normal scrotum and benign disease. J Clin Ultrasound 1993; 21:355-373.
5. Özcan H, Aytaç S, Yağcı C et al. Color Doppler Ultrasonographic findigs in intratesticular varicocele. J Clin Ultrasound1997; 25:325-329.
6. Das KM, Prasad K, Szmigielski W et al. Intratesticular varicocele; evaluation using conventional and Doppler sonography. AJR Am J Roentgenol 1999; 173:1079-83.
7. Pourbagher MA, Güvel S, Pourbagher A et al. Intratesticular varicocele: Report of two cases. Int J of Urol 2003; 10:231-232.