LAUSR

A 54-year-old patient, with no medical or surgical history, presented with left inguinal pain of two days duration, without fever or any associated urinary signs. His examination revealed a sensible palpable left varicocele grade III without homolateral hernia (Fig. 1). Other physical examination and biology were normal. Ultrasound revealed an expanded vein in the left spermatic cord which contained echogenic material consistent with thrombus (Fig. 2). The appearances were consistent with a thrombosed left pampiniform plexus. The patient had a medical treatment of anti inflammatory basis, anticoagulant at a curative dose and veino-tonics. After 15 days, the patient improved a lot and the pain disappeared totally. A scrotal ultrasound was performed three months after the acute episode showing complete resolution of the thrombus with greater dilation of the pampiniform plexus (Fig. 3). The patient maintained a sensation of left scrotal heaviness at prolonged standing. He presented once with throbbing pain relieved by paracetamol and veinotonics.