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Case Reports
. 2021 Dec 4;13(12):e20161.
doi: 10.7759/cureus.20161. eCollection 2021 Dec.

Spontaneous Bilateral Spermatic Vein Thrombosis: A Rare Clinical Presentation

Jouhar J Kolleri  1 , Abdirahman M Abdirahman  1 , Nabil Sherif Mahmood  1 , Sushila Ladumor  1 , Safa Hameed  2
Affiliations
Case Reports

Spontaneous Bilateral Spermatic Vein Thrombosis: A Rare Clinical Presentation

Jouhar J Kolleri et al. Cureus. .

Abstract

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.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Doppler ultrasound of the testes showing (A) bilateral testes with normal echogenicity and (B) normal vascularization.
Figure 2
Figure 2. Doppler ultrasound of the testes showing non-compressible (A and B) right and (C and D) left spermatic veins with echogenic thrombus and no flow on Doppler.
See this image and copyright information in PMC

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