Intratesticular Varicocele
A 28-year-old male presented with a history of pain in the scrotal region for about 6 months. Surgical examination was negative. Patient was not seen by an urologist. His routine blood and urine test were within the normal limits. He was referred to our department for scrotal sonography to evaluate the cause of pain. Scrotal sonography revealed multiple dilated veins superior, lateral and inferior to the testis on left side. They ranged in size from 4 to 5 mm []. Color Doppler study confirmed the vascular nature []. The flow was sluggish and reflux noted on Valsalva manoeuvre for about 6 s. The left testis showed multiple anechoic tubular lesions spontaneously in mediastinal and subcapsular location []. Valsalva manoeuvre accentuated both intra- and extratesticular varicoceles. The right testis was normal in size, contour, and echo texture. Both epididymides appeared normal. Pampiniform plexus veins were normal in caliber on right side. The features were consistent with extratesticular and intratesticular varicocele on left side.