Bilateral Varicocele Co-existing with Sub-acute Appendicitis: A Case Report
Published: 2022-02-06
Page: 60-63
Issue: 2022 - Volume 5 [Issue 1]
U. E. Onwuasoanya *
Department of Urology, Lily Hospitals Limited, Warri, Delta State / Nigeria Currently Consultant Urologist, Zenith Medical and Kidney Centre, Abuja, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Introduction: The diagnosis of bilateral varicocele and sub-acute appendicitis co-existing in the same patient is rare and we report the management of a patient who presented to Lily Hospitals Limited, Warri, Delta State, Nigeria with both recurrent right iliac fossa pain and scrotal pain.
Case Presentation: A 27 year old male who presented with recurrent scrotal pain of 3 years duration and recurrent right iliac fossa pain of 2 years duration. Following evaluation, the diagnosis of bilateral varicocele and sub-acute appendicitis was made and he subsequently had open bilateral inguinal varicocelectomy and open appendicectomy at the same sitting under regional anaesthesia. He had uneventful post-operative recovery and was subsequently discharged.
Conclusion: A thorough evaluation of patients presenting with scrotal and right iliac fossa pains is invaluable to avoid missing the diagnosis of both bilateral varicocele and appendicitis when they co-exist in the same patient.
Keywords: Varicocele, appendicitis, pain