Cases of acute scrotum presenting to the emergency department are usually due to testicular torsion, complicated hernia, or epididymo-orchitis. Thrombosis of the spermatic vein is an uncommon entity and most of the cases reported to date are of unilateral involvement. Here, we present an extremely rare case of spontaneous bilateral spermatic vein thrombosis, which was diagnosed by a Doppler ultrasound of the testes. This article highlights its clinical presentation, radiological imaging, etiology, and management.
Keywords: acute scrotum; bilateral spermatic vein thrombosis; spermatic vein thrombosis; testicular vein thrombosis; ultrasound doppler.
Copyright © 2021, Kolleri et al.