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Case Report
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| Spontaneous spermatic vein thrombosis as a circumstance of discovery of the nutcracker syndrome: An exceptional entity | ||||||
| Faouzi Mallat1, Wissem Hmida1, Khaled Ben Ahmed1, Sarra Mestiri2, Faouzi Mosbah3 | ||||||
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1MD, Urology Department, Sahloul Hospital, Sousse.
2MD, Pathology Department, Fahat Hached Hospital, Sousse. 3Professor, Urology Department, Sahloul Hospital, Sousse. | ||||||
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| How to cite this article |
| Mallat F, Hmida W, Ahmed KB, Mestiri S, Mosbah F. Spontaneous spermatic vein thrombosis as a circumstance of discovery of the nutcracker syndrome: An exceptional entity. Int J Case Rep Images 2014;5(7):519–523. |
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Abstract
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Introduction:
Spontaneous thrombosis of a varicocele is an extremely rare event. Preoperatively, it may be misdiagnosed due to non-specific presentation because of its clinically indistinguishable from many other inguinal conditions.
Case Report: We report a case of left spermatic vein thrombosis extending to the nearby renal vein diagnosed by Doppler ultrasound, in a 28-year-old male. Blood congestion caused by the nutcracker syndrome, which was incidentally found by computed tomography angiography, may therefore have contributed to the pathogenesis of the thrombosis in our patient. After undergoing surgical treatment (complete resection of the spermatic vein thrombosis), our patient is asymptomatic, with complete resolution of his pathology. Watchful observation was our option for the nutcracker syndrome. Conclusion: The diagnosis of spontaneous thrombosis of varicocele is difficult and it may be misdiagnosed before ultrasound examination, and should be considered in patients without usual risk factors of thrombosis vein. Our purpose is to raise clinician's awareness for this condition so that they will be more likely to diagnose it. Our recommendation is: before classification of the left spermatic vein thrombosis as spontaneous in the absence of the usual risk factors for thrombosis, nutcracker syndrome should be sought especially among young males. | |
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Keywords:
Varicocele, Thrombosis, Nutcracker syndrome
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Author Contributions
Faouzi Mallat – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Wissem Hmida – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Khaled Ben Ahmed – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published Nadia Mama – Substantial contributions to conception and design, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published Faouzi Mosbah – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2014 Faouzi Mallat et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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