%0 Case Reports %T Metachronous bilateral spontaneous spermatic vein thrombosis: A rare cause of orchialgia. %A Khalil IA %A Mohammed H %A Aldeeb M %A Hatem M %A Alani A %A Al-Jalham K %A Khalil IA %A Mohammed H %A Aldeeb M %A Hatem M %A Alani A %A Al-Jalham K %J Urol Case Rep %V 45 %N 0 %D Nov 2022 %M 36164380 暂无%R 10.1016/j.eucr.2022.102234 %X 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.