[Renal cell carcinoma and simultaneous left varicocele].
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.
Espinosa Bravo
Raúl
R
España, Servicio de Urología Hospital Freyre de Andrade, Ciudad de la Habana, Cuba.
Lemourt Oliva
Manuel
M
Pérez Monzón
Antonio Felipe
AF
Puente Guillen
Martha
M
Navarro Cutiño
Magdelín
M
Sandoval López
Onelia
O
de la C Fuentes Milera
Arelín
A
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*