title: Unusual combination of bilateral testicular microlithiasis and tubular ectasia of the rete testis with left intra- and extratesticular varicocele in a 17-year-old boy.
abstract: We describe the rare combination of testicular microlithiasis, unilateral intra/extratesticular varicocele, and tubular ectasia of the rete testis in a 17-year-old boy who presented with testicular pain following a trauma. He had a prior history of undescended testis and orchiopexy in childhood. His workup included a normal abdominal ultrasound and a sperm analysis demonstrating a low sperm count with sperm dysmotility. A follow-up ultrasound was unchanged, and he has been managed conservatively. This combined set of findings has not been previously reported.
authors.affiliation: Department of Radiology, University of Michigan, Ann Arbor, MI 48109-5030, USA. neilhans@med.umich.edu
authors.forename: Neil
authors.initials: N
authors.lastname: Hansen
authors.forename: Ramon
authors.initials: R
authors.lastname: Sanchez
authors.forename: Vesna
authors.initials: V
authors.lastname: Ivancic
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D004108:Dilatation, Pathologic / Q000150:complications / Q000000981:diagnostic imaging; D018618:Echocardiography, Doppler, Color; D005500:Follow-Up Studies; D006801:Humans; D020347:Lithiasis / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D012152:Rete Testis / Q000000981:diagnostic imaging / Q000293:injuries*; D013733:Testicular Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D014646:Varicocele / Q000150:complications* / Q000000981:diagnostic imaging; D014947:Wounds and Injuries / Q000150:complications* / Q000000981:diagnostic imaging