Spontaneous rupture of varicocele due to strain-defecation

Zorlamaya bağlı spontan sol varikosel rüptürü olgusu sunulmuştur. Zorlu dışkılama sonrası sol skrotumda şişlik ve ağrı yakınmasıyla gelen 21 yaşındaki erkek hastada varikosel rüptürü tanısı konuldu. Doppler ultrasonografi ile sol testiste hematom, sol testisi saran alanda kan akımı ve sol spermatik vende reflü akım izlendi. Hasta konservatif takip sonrası ameliyat edildi.

Zorlu dışkalamaya bağlı spontan varikosel rüptürü

We report a case of strain-induced spontaneous rupture of left varicocele. Varicocele rupture was diagnosed in a 21-year-old man who presented with swelling and pain in the left scrotum of sudden onset after straining for defecation. Doppler ultrasound revealed a hematoma and escaping to the left peritesticular space and, reflux of blood in the left spermatic vein. The patient underwent an operation after conservative follow-up.

PDF

___

Pryor JL, Howards SS. Varicocele. Urol Clin N Amer 1987; 148: 499-513.
Hargreave TB. Varicocele—a clinical enigma. Br J Urol 1993; 72: 401-408.
Bisset RD. Two cases of traumatic rupture of a varicocele. J R Nav Med Serv 1945; 31: 177.
Redman JF, Rountree GA, Bissada NK. Injuries to scrotal contents by blunt trauma. Urology 1976; 7: 190- 191.
Aliabadi H, Cass AS. Nontraumatic rupture of varicocele. Urology 1987; 29: 421-422.
Gordon JN, Aldoroty RA, Stone NN. A spermatic cord hematoma secondary to varicocele rupture from bluntabdominal trauma: a case report and review. J Urol 1993; 149: 602-603.
Matsui Y, Utsunomiya N, Ichioka K, Ueda N, Yoshimura K, Terai A. Spontaneous rupture of varicocele testis associated with advanced pancreatic cancer. Int J Urol 2004; 11: 1145-1146.
Nishiyama Y, Nagai A, Nasu Yet al. Varicocele rupture due to sexual intercourse. Int J Urol 2005; 12: 585-587.
Kobayashi S, Machida T, Ishizaka K. A case of nontraumatic rupture of varicocele. Nippon Hinyokika Gakkai Zasshi 2006; 97: 801-803.
Stewart VR, Sidhu PS. The testis: the unusual, the rare and the bizarre. Clin Radiol, 2007; 62: 289-302.