Spontaneous thrombosis of left spermatic vein: report of 2 cases.
We report 2 cases of spontaneous thrombosis of the left internal spermatic vein causing acute development of a painful scrotoinguinal mass. Both patients were treated by surgical ligation and excision of the thrombosed vein. Venous congestion and testicular ischemia occurred in 1 patient who required orchiectomy for massive swelling and pain. Based on our recent experience, we recommend conservative management of spontaneous spermatic vein thrombosis with anticoagulation (and possibly antibiotics).
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D006801:Humans; D007264:Inguinal Canal / Q000098:blood supply; D008026:Ligation; D008297:Male; D013737:Testis / Q000098:blood supply*; D013927:Thrombosis / Q000601:surgery / Q000628:therapy*
D000925:Anticoagulants