[Intratesticular varicocele associated with glandular atrophy and parenchymal ultrasound abnormalities].
OBJECTIVE
To report one case of intratesticular varicocele, infrequent pathology (2% of the cases), with a series of ultrasound peculiarities: testicular atrophy and associated parenchymal abnormalities, in a 24-year-old patient with left testicular pain.


METHODS
Ultrasound showed severe left varicocele, mixed type, with the regular extratesticular component and dilated subcapsular and mediastinum vessels, with turbulent flows increasing with Valsalva's manoeuvre, as well as an alteration of the ultrasound pattern of the parenchyma, with hypoechoic and hypovascular areas and diminished testicular size.


CONCLUSIONS
Intratesticular varicocele is a rare pathology more frequent in the left testicle, which is frequently associated with extratesticular varicocele. The presence of testicular atrophy and associated parenchymal abnormalities has been rarely described in the literature. Clinically they show features overlapping the extratesticular types.
Márquez Moreno
Antonio Javier
AJ
Servicios de Radiodiagnóstico, Hospital Clínico, Málaga, España. nuriaantonio@terra.es
Julve Villalta
Emilio
E
Ruíz Escalante
José
J
D000328:Adult; D001284:Atrophy; D006801:Humans; D008297:Male; D013737:Testis / Q000000981:diagnostic imaging* / Q000473:pathology*; D014463:Ultrasonography; D014646:Varicocele / Q000150:complications*