Al-Haidari Hasan N, Altahat Raad Y, Jamous Khaled Abu, Hamidi Mohammad F, Alhmaisat Ibrahim K, Alquati Amira H
Radiology Department, Jordanian Royal Medical Services, King Hussien Medical Center, Amman, Jordan.
Radiology Department, Ministry of Health, Al-Basheer Hospital, Amman, Jordan.
Radiol Case Rep. 2025 Mar 15;20(6):2751-2753. doi: 10.1016/j.radcr.2025.02.074. eCollection 2025 Jun.
Acute scrotal pain includes urgent conditions in urology, such as testicular torsion, testicular rupture, epididymo-orchitis, and abscess. However, varicocele (pampiniform plexus) thrombosis is considered to be a rare cause of such pain. We herein report a case of a 27-year-old male patient with a history of epididymo-orchitis, who complained of painful scrotal swelling. Ultrasonography showed left-side pampiniform plexus thrombosis. This case highlights a rare condition, which should be included in the differential diagnosis of acute scrotal pain, indicating the need for further studies to elucidate its pathophysiology and provide proper treatment for such cases.
急性阴囊疼痛包括泌尿外科的急症，如睾丸扭转、睾丸破裂、附睾炎和脓肿。然而，精索静脉曲张（蔓状静脉丛）血栓形成被认为是此类疼痛的罕见原因。我们在此报告一例27岁男性患者，有附睾炎病史，主诉阴囊疼痛肿胀。超声检查显示左侧蔓状静脉丛血栓形成。该病例突出了一种罕见情况，应纳入急性阴囊疼痛的鉴别诊断，这表明需要进一步研究以阐明其病理生理学并为此类病例提供适当治疗。
