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Signs & Symptoms
Left side involvement
Note: Because the left spermatic vein enters the left renal vein at a 90 degree angle
Ref:
Uptodate
[ Causes of painless scrotal swelling in children and adolescents]
Harrison
[ 2773]
Visible distention around the spermatic cord
Note: Indicative of a grade III varicocele
Ref:
Uptodate
[ Causes of painless scrotal swelling in children and adolescents]
Worsen upon standing
Ref:
Uptodate
[ Causes of painless scrotal swelling in children and adolescents]
Dull ache in the scrotum
Ref:
Uptodate
[ Causes of painless scrotal swelling in children and adolescents]
Physical Examination
Visible distention around the spermatic cord
Note: Indicative of a grade III varicocele
Ref:
Uptodate
[ Causes of painless scrotal swelling in children and adolescents]
Palpation of mass around the testes
Ref:
Uptodate
[ Causes of painless scrotal swelling in children and adolescents]
Palpation of mass around the cord
Ref:
Uptodate
[ Causes of painless scrotal swelling in children and adolescents]
Cause
Obstruction of the inferior vena cava
Ref:
Uptodate
[ Causes of painless scrotal swelling in children and adolescents]
Incompetent valves
Ref:
Uptodate
[ Causes of painless scrotal swelling in children and adolescents]
Increased venous pressure
Ref:
Uptodate
[ Causes of painless scrotal swelling in children and adolescents]