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Varicocele Secondary to Spermatic Cord Hematoma Related to Blunt Trauma
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Yeon Won Park, Jun Ho Lee
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Urogenit Tract Infect 2020;15(3):79-82. Published online December 31, 2020
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DOI: https://doi.org/10.14777/uti.2020.15.3.79
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 Abstract
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- A secondary varicocele caused by spermatic cord hematoma has not been reported. This paper presents a 17-year-old patient with varicocele secondary to spermatic cord hematoma related to blunt trauma. Ultrasonography immediately after the injury revealed a hematoma surrounding the spermatic vessels at the level of the left inguinal area where he had been kicked. Distal to the spermatic cord hematoma, the spermatic vessels began to dilate, and their maximum resting diameter was up to 8 mm. Six-months after the injury, ultrasonography still showed a varicocele, and the testosterone level was below the normal range. After a varicocelectomy, ultrasonography revealed a significant decrease in the size of the spermatic vessels, and the testosterone level returned to normal. This case suggests that a varicocele due to trauma might not be a self-limiting disease and can be treated by a varicocelectomy and hematoma removal.
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Idiopathic Retroperitoneal Fibrosis: Clinical Role of 18F-Fluorodeoxyglucose Positron Emission Tomography for Differential Diagnosis from Malignancy
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Chang Seung Liu, Seung Hun Seol, Jong Wan Im, Moung Jin Lee, Yeon Won Park, Seung Ki Min
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Korean J Urogenit Tract Infect Inflamm 2008;3(1):108-115. Published online April 30, 2008
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Abstract
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- Retroperitoneal fibrosis sometimes causes urological problem involving the ureter, but the mechanism is uncertain. The most common treatment of retroperitoneal fibrosis is often a surgical exploration followed by urologic intervention, but medical therapy has been advocated recently. For medical therapy, there is necessary to exclude malignancy and 18F-fluorodeoxyglucose positron emission tomography (FDG-PET) scan may be an useful alternative tool to avoid invasive procedure including open biopsy. Here we report two patients who were undergone the FDG-PET scan to exclude malignancy and received successful treatment of retroperitoneal fibrosis with prednisolone.
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