title: [Renal cell carcinoma and simultaneous left varicocele].
abstract: OBJECTIVE
  To report a rare case of left renal cell carcinoma causing simultaneous acute left varicocele. We also performed a bibliographic review.
  
  
  METHODS
  We present the case of a male adult who was diagnosed as having a left varicocele during a medical exam at his work center and referred to the urology clinic. On physical examination a left flank and hypochondrium mass was found. We analyze the diagnostic tests performed and possible therapies.
  
  
  RESULTS
  With the diagnosis of left hypernephroma the patient underwent surgery. A big lower pole and medial portion kidney tumor displacing neighbor structures was found, and left radical nephrectomy was performed.
  
  
  CONCLUSIONS
  Although it was easy to diagnose a hypernephroma with the diagnostic tests performed, the clinical presentation is not frequent, neither is the sudden onset of left varicocele. Currently, after 8 years of follow-up, the patient has normal blood-ultrasound tests.
authors.affiliation: España, Servicio de Urología Hospital Freyre de Andrade, Ciudad de la Habana, Cuba.
authors.forename: Raúl
authors.initials: R
authors.lastname: Espinosa Bravo
authors.forename: Manuel
authors.initials: M
authors.lastname: Lemourt Oliva
authors.forename: Antonio Felipe
authors.initials: AF
authors.lastname: Pérez Monzón
authors.forename: Martha
authors.initials: M
authors.lastname: Puente Guillen
authors.forename: Magdelín
authors.initials: M
authors.lastname: Navarro Cutiño
authors.forename: Onelia
authors.initials: O
authors.lastname: Sandoval López
authors.forename: Arelín
authors.initials: A
authors.lastname: de la C Fuentes Milera
mesh_terms: D002292:Carcinoma, Renal Cell / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011859:Radiography; D014646:Varicocele / Q000000981:diagnostic imaging / Q000209:etiology*