Emergency Ultrasound > Top 10 Pathology > Varicocele


Varicocele is secondary to dilation of the pampiniform plexus (Fig 10) and is more commonly left sided and is associated with male infertility secondary to the high temperature of the increased venous flow to the site. It could be a serious diagnosis if found acutely in a patient with no prior abnormality on that side or known to be acute by clinical history. The acute varicocele may be caused by a pelvic, retroperitoneal or renal hilar mass causing extrinsic compression and obstruction of flow to the gonadal veins. Further scanning with CT or MRI of the abdomen and pelvis may prove helpful in these instances.


Fig 10. Varicocele.

A great example is found in ULTRASOUND Q., Volume 22(2).June 2006.121-136.

8a ULTRASOUND Q., Volume 22(2).June 2006.121-136.jpg

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