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a 25 year old single man, with prior left varicocelectomy presented to urology clinic due to constant swelling in left testis without pain      8/27/2011

a 25 year old single man, with prior left varicocelectomy presented to urology clinic due to constant swelling in left testis without pain . exam revealed varicocele in leftside and sonography revealed hypoechoic 12*13 millimeters in diameter in upper pole of left testis which was confirmed in 2 other ultra sonographic studies of which, one showed increased monophasic arterial flow in left testis artery and veins suggestive of arteriovenous fistula.
in past medical history he mentioned blunt scrotal trauma 6 weeks age and a left  varicocelectomy 6 months earlier.
serum LDH,AFP &HCG were normal . inform consent was obtained and inguinal exploration of left testis was performed By Dr. Aghamir And Yousefi ; frozen section of suspicious areas turned out to be inflammatory response with necrosis ,partial orchiectomy was performed. patient was varicocele free on the discharge day

 

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