title: [Intratesticular varicocele associated with glandular atrophy and parenchymal ultrasound abnormalities].
abstract: 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.
authors: Servicios de Radiodiagnóstico, Hospital Clínico, Málaga, España. nuriaantonio@terra.es
authors: Antonio Javier
authors: AJ
authors: Márquez Moreno
authors: Emilio
authors: E
authors: Julve Villalta
authors: José
authors: J
authors: Ruíz Escalante
mesh_terms: D000328:Adult; D001284:Atrophy; D006801:Humans; D008297:Male; D013737:Testis / Q000000981:diagnostic imaging* / Q000473:pathology*; D014463:Ultrasonography; D014646:Varicocele / Q000150:complications*