Varicose Vein Hernia (Varicocele): Or something else? Differential Diagnosis

Cardiovascular System (I00-I99).

  • Varicocele (synonyms: varicocele testis; varicocele hernia) – varicose vein formation in the area of the pampiniform plexus, a plexus of veins in the spermatic cord formed by the testicular and epididymal veins; in a high percentage (75-90%), the varicocele occurs on the left side.Surgical indication: varicocelectomy when a reduced testis is present in addition to the varicocele. The threshold is a testicular atrophy index (TAI) of 20%, which means that one testicle is 20% smaller than the other; another factor is a volume difference of at least 2 ml between the two testicles

Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93).

  • Inguinoscrotal hernia (inguinal hernia that appears inguinally, i.e., in the groin and continues into the scrotum (scrotum)), incarcerated (“pinched”) or strangulated (“strangled,” “strangled”), respectively

Neoplasms – tumor diseases (C00-D48).

  • Tumors of the testis/epididymis
    • Testicular carcinoma
    • Testicular tumors, unspecified (e.g., seminoma) [these are usually painless; however, hemorrhage can cause acute scrotum]

Genitourinary system (kidneys, urinary tract – sex organs) (N00-N99).

  • Hematocele (blood hernia) – accumulation of blood in the scrotum.
  • Hydrocele (water hernia) – accumulation of fluid in the tunica vaginalis testis (testicular sheath).
  • Idiopathic scrotal edema (swelling of the scrotal skin).
  • Spermatocele (seminal hernia) – a retention cyst (cyst formed due to an outflow obstruction), usually located on the epididymis, which contains fluid containing sperm