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. 2016 Sep-Oct;10(9-10):E324-E327.
doi: 10.5489/cuaj.3208. Epub 2016 Sep 13.

Isolated thrombosis of right spermatic vein with underlying Factor V Leiden mutation

Deniz Bolat  1 , Bulent Gunlusoy  1 , Serkan Yarimoglu  1 , Funda Ozsinan  2 , Serife Solmaz  3 , Fatma Gul Imamoglu  2
Affiliations

Isolated thrombosis of right spermatic vein with underlying Factor V Leiden mutation

Deniz Bolat et al. Can Urol Assoc J. 2016 Sep-Oct.

Abstract

Spermatic vein thrombosis is a very uncommon clinical entity. Most cases involve the left side. Herein, we present an unusual case of a young man who presented with spermatic vein thrombosis on the right side with an underlying Factor V Leiden mutation. To our knowledge, it is the first case in the literature.

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Figures

Fig. 1.
Fig. 1.
Grey scale ultrasonography demonstrated non-compressed thrombosed tubular venous structure with increased wall thickness and focal diameter increase within the right spermatic cord. Within this tubular structure, focal echoes that belong to thrombosis can be seen with an antero-posterior diameter 6 mm.
Fig. 2.
Fig. 2.
On colour Doppler ultrasound and power Doppler ultrasound, no filling with the colour was seen in the lumen of this vein within the right spermatic cord. On power Doppler ultrasound, filling was seen within the neighbouring arterial structure, but not within the vein.
Fig. 3.
Fig. 3.
Fat-compressed axial T1A magnetic resonance images demonstrated thrombosed tubular venous structure with increased wall thickness and focal diameter increase within the right spermatic cord. Within this venous structure, intraluminal signal intensity was increased.
Fig. 4.
Fig. 4.
On the third month control Doppler ultrasound, the regression was observed on the size of the thrombosis with an anterior-posterior diameter 3.5 mm and nearly full compression was revealed.
See this image and copyright information in PMC

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