Thrombosed Spermatic Vein-a Rare Cause of Testicular Mass

Acute thrombophlebitis of spermatic vein is an uncommon pathology with an ill-defined etiology. Most patients present with acute testicular or inguinal pain, frequently misdiagnosed as incarcerated inguinal hernia or testicular torsion. We report the case of a 29-year-old male, a policeman with prolonged standing hours, who presented to the clinic for severe left testicular pain and a palpable mass. Doppler-ultrasound revealed left spermatic vein blood flow alteration. CT angiography confirmed the presence of left spermatic vein thrombosis. Conservative management was adopted with anticoagulant and non-steroidal anti-inflammatory drugs. Spontaneous spermatic vein thrombosis is a rare entity with a high likelihood of misdiagnosis.