A varicocoele mimicking a hydrocoele in a man with portal hypertension: a case report
2008

A Case of Varicocoele Mimicking Hydrocoele in a Man with Portal Hypertension

Sample size: 1 publication Evidence: low

Author Information

Author(s): Yardy George, Rafique Akkib, Sellers Iain, Berman Lawrence, Bullock Nigel

Primary Institution: Addenbrooke's Hospital, Cambridge, UK

Conclusion

The diagnosis of a varicocoele was established through radiological investigation, preventing potential significant intra-operative bleeding.

Supporting Evidence

  • The patient had a history of liver cirrhosis and presented with a scrotal swelling.
  • Doppler ultrasonography revealed blood flow in the fluid surrounding the testis.
  • Attempted surgery without proper diagnosis could have led to significant blood loss.

Takeaway

A man thought to have a hydrocoele actually had a varicocoele, which could have caused serious problems if not diagnosed correctly.

Methodology

Doppler ultrasonography was used to investigate the fluid around the testis.

Participant Demographics

A 53-year-old man with liver cirrhosis and non-insulin-dependent diabetes mellitus.

Digital Object Identifier (DOI)

10.1186/1752-1947-2-363

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