Metachronous bilateral spontaneous spermatic vein thrombosis: A rare cause of orchialgia.

异时双侧自发性精索静脉血栓形成 ： 一种罕见的睾丸痛原因。

• 发表时间: Nov 2022
• 来源期刊: Urol Case Rep
• DOI: 10.1016/j.eucr.2022.102234
• PMID: 36164380
• 文章类型: Case Reports
• 作者列表: Khalil IA,Mohammed H,Aldeeb M,Hatem M,Alani A,Al-Jalham K,Khalil IA,Mohammed H,Aldeeb M,Hatem M,Alani A,Al-Jalham K

关键词: Orchialgia; Rare cause; Scrotal pain; Spermatic vein thrombosis; Orchialgia; Rare cause; Scrotal pain; Spermatic vein thrombosis

Abstract

Scrotal pain and swelling are common presentation, the prompt evaluation and diagnosis is needed due to wide range of causes, uncommon causes of orchialgia should be kept in mind whenever there is no clear diagnosis. Spermatic vein thrombosis usually presents with orchialgia along with episodes of acute exacerbation of pain. The diagnosis is challenging and need high index of suspension and detailed radiological evaluation. We present a case of metachronous bilateral unprovoked spermatic vein thrombosis treated conservatively with anticoagulation with good response and resolution of symptoms.

摘要

阴囊疼痛和肿胀是常见的表现，由于广泛的原因，需要及时的评估和诊断，如果没有明确的诊断，应牢记睾丸痛的罕见原因。精索静脉血栓形成通常表现为睾丸疼痛，并伴有急性加重的疼痛发作。诊断具有挑战性，需要高的悬浮指数和详细的放射学评估。我们介绍了一例异时双侧无缘无故的精索静脉血栓形成，经抗凝保守治疗，反应良好，症状缓解。