Ultrasound diagnosis of intratesticular varicocele

Objective: Varicocele is a relatively frequent entity; in most cases venous dilation only involves the extratesticular portion, but 2% of the cases present intratesticular dilation. We report one case of left intratesticular varicocele.

Results: We report the case of a 25-year-old male patient referred for study of left testicular pain, whose work up only found left intratesticular varicocele.

Conclusions: Intratesticular varicocele is an infrequent entity which can be associated with testicular pain, scrotal mass and infertility or may be asymptomatic. The diagnosis is established by Doppler ultrasound; if symptomatic, it may be treated by spermatic vein ligation.