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

Ibrahim A Khalil; Hamed Mohammed; Maya Aldeeb; Mohamed Hatem; Ammar Alani; Khalid Al-Jalham

doi:10.1016/j.eucr.2022.102234

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

Urol Case Rep. 2022 Sep 16:45:102234. doi: 10.1016/j.eucr.2022.102234. eCollection 2022 Nov.

Authors

Ibrahim A Khalil¹, Hamed Mohammed², Maya Aldeeb³, Mohamed Hatem¹, Ammar Alani¹, Khalid Al-Jalham¹

Affiliations

¹ Department of Urology, Hamad Medical Corporation, Doha, Qatar.
² Department of Medical Education, Medical Intern, Hamad Medical Corporation, Doha, Qatar.
³ Department of Medical Education, Family Medicine Residency Program, Hamad Medical Corporation, Doha, Qatar.

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.

Keywords: Orchialgia; Rare cause; Scrotal pain; Spermatic vein thrombosis.

Publication types

Case Reports