Abstract：
Spontaneous pampiniform plexus thrombosis is an extremely rare condition. Its aetiology and pathophysiology are unknown, and its diagnosis remains challenging. We present the first case of an adolescent patient with bilateral spontaneous pampiniform plexus thrombosis. He presented with a 2-day history of bilateral testicular pain. Biochemical investigations were unremarkable, and the patient did not have any risk factors. Ultrasound of the scrotum demonstrated bilateral pampiniform plexus thrombosis. He was managed conservatively and repeat scrotal ultrasound 3 months later revealed complete resolution. This case adds to the minimal literature on spontaneous pampiniform plexus thrombosis, supporting diagnosis via scrotal ultrasound while recommending conservative management without the use of anticoagulation for patients with no pre-existing coagulopathy.
摘要：
自发性斑马状神经丛血栓形成是一种极为罕见的疾病。其病因和病理生理学未知，它的诊断仍然具有挑战性。我们介绍了第一例青少年患者的双侧自发性血管丛血栓形成。他有2天的双侧睾丸疼痛史。生化调查并不显著，患者没有任何危险因素。阴囊的超声检查显示双侧血管丛血栓形成。他被保守地管理和重复阴囊超声3个月后显示完全解决。这种情况增加了关于自发性Pampiniform神经丛血栓形成的最少文献，支持通过阴囊超声诊断，同时建议对没有凝血障碍的患者进行保守治疗，而不使用抗凝治疗。
