Rare cause of acute scrotal swelling and pain in adult- a case report on spontaneous pampiniform plexus thrombosis and literature review

Abstract

Acute scrotal pain is a common urological emergency where clinical judgement plays pivotal role in making the diagnosis. Scrotal pain secondary to spontaneous pampiniform plexus thrombosis is rare, and we are the first who report in the Asian region.A 50-year-old gentleman presented with left-sided scrotal pain & swelling. The diagnosis of pampiniform plexus thrombosis was confirmed by the ultrasound Doppler. He was treated with anticoagulant and good clinical result was obtained.Uncomplicated thrombosis could be managed non-surgically with good clinical outcome and radiological resolution. Ultrasound doppler remains first-line investigation to establish diagnosis, monitor the progression and treatment outcome.

Acute testicular pain after laparoscopic appendicectomy: a rare case of provoked bilateral thrombosed varicoceles

“…This is only the fourth documented case of bilateral thrombosis. Previous cases have not been related temporally to an intra‐abdominal operation making this case unique 1–7 . Pampiniform plexus thrombosis can occur at any age group; however, the median age in case reports is around 33 2 .…”

“…There are no evidence‐based guidelines for the management of this rare condition. Previous case studies largely agree that conservative management of analgesia and anti‐inflammatory medications should be the mainstay of therapy 1,2,5–7 . Despite similarity to deep venous thrombosis or pulmonary embolism, anti‐platelet agents or anticoagulants are variably utilized across published case reports of thrombosed varicoceles.…”