Surgery is inadvisable: massive varicocele due to portal hypertension.
The pathophysiology of idiopathic varicoceles as a dilatation of the pampiniform venous plexus has been traced to anatomical and embryological development, but is still unclear. Right or non-decompressible lesions are worrisome for retroperitoneal pathology, such as renal cell carcinoma, hydronephrosis, abdominal neoplasm or fibrosis. As a very rare finding we describe a patient who presented with an exorbitant left sided varicocele due to portal hypertension. We were well advised to avoid surgery.
Schulte-Baukloh
Heinrich
H
Department of Urology, St. Hedwig Hospital, Teaching Hospital of University Hospital Charité, Berlin, Germany. hschultebaukloh@hotmail.com
Kämmer
Jörg
J
Felfe
Rainer
R
Stürzebecher
Burkard
B
Knispel
Helmut H
HH
D000075202:Contraindications; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D008297:Male; D008875:Middle Aged; D014646:Varicocele / Q000209:etiology* / Q000601:surgery; D014656:Vascular Surgical Procedures