[A rare case of acute scrotum. Thrombophlebitis from ectasia of the left pampiniforme plexus].
The acutely painful scrotum may be due to testicular torsion, twisted testicular appendages, twisted spermatic cord or epididymitis. Most rarely it occurs as a result of a testicular trauma, orchitis, idiopathic scrotal edema, idiopathic infarction of testis and vaginalis tunica or testicular neoplasm; a spontaneous thrombosis of the spermatic vein vessels is quite unusual. A rare case of thrombosis of a dilated pampiniform plexus which occurred in a 6 year-old child is reported and its clinical presentation, diagnosis and treatment is discussed. The difficulty in making such a diagnosis is stressed since thrombosis of the spermatic vein is quite a rare entity; a conservative approach is suggested as a treatment of choice whenever a definite diagnosis is made, otherwise surgical intervention (ligation of the spermatic vein, if necessary) is required in order to rule out any other urologic emergency.
Campagnola
S
S
Dipartimento di Scienze Chirurgiche, Università degli Studi, Verona.
Flessati
P
P
Fasoli
L
L
Sulpasso
M
M
Pea
M
M
D002648:Child; D004108:Dilatation, Pathologic / Q000150:complications; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology*; D059408:Pain Management; D012039:Regional Blood Flow / Q000502:physiology; D012611:Scrotum; D013733:Testicular Diseases / Q000150:complications*; D013737:Testis / Q000002:abnormalities* / Q000098:blood supply*; D013924:Thrombophlebitis / Q000209:etiology* / Q000628:therapy