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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A varicocoele mimicking a hydrocoele in a man with portal hypertension: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report A varicocoele mimicking a hydrocoele in a man with portal hypertension a case report George Yardy 1 Akkib Rafique2 Iain Sellers3 Lawrence Berman3 and Nigel Bullock1 Address Department of Urology Addenbrooke s Hospital Cambridge UK 2Department of Radiology Ealing Hospital London UK and 3Department of Radiology Addenbrooke s Hospital Cambridge UK Email George Yardy - georgeyardy@doctors.org.uk Akkib Rafique - akkib1@gmail.com Iain Sellers - iain.sellers@addenbrookes.nhs.uk Lawrence Berman - lol@radiol.cam.ac.uk Nigel Bullock - nigel.bullock@addenbrookes.nhs.uk Corresponding author Published 4 December 2008 Received 4 January 2008 Journal of Medical Case Reports 2008 2 363 doi 10.1186 1752-1947-2-363 Accepted 4 December 2008 This article is available from http www.jmedicalcasereports.cOm content 2 1 363 2008 Yardy et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Hydrocoele is a condition frequently encountered in adult urological practice. It is usually of benign aetiology and often diagnosed on clinical grounds. Surgical repair if indicated is generally straightforward. Case presentation We report a 53-year-old man with liver cirrhosis and clinical features of a hydrocoele in whom flow was demonstrated using Doppler ultrasonography in the fluid around the testis which communicated via varices with the left renal vein. Conclusion In this patient with misleading clinical signs diagnosis was established radiologically. Had surgery proceeded without this investigation significant intra-operative bleeding would have been likely. Introduction A hydrocoele causes fluctuant non-tender unilateral scrotal swelling which is irreducible and