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Fig. 3 | Surgical Case Reports

Fig. 3

From: Bilateral spontaneous thrombosis of the pampiniform plexus mimicking incarcerated inguinal hernia: case report of a rare condition and literature review

Fig. 3

a Grayscale ultrasonography demonstrate dilated, non-compressible, thrombosed tubular venous structure with increased wall thickness within the left spermatic cord. Within this tubular structure, focal echoes that belong to thrombus (green arrow) can be seen, but no vascular flow curve can be seen (red arrow). b On color Doppler ultrasound, no filling with the color was seen in the lumen of this vein within the left spermatic cord. On Doppler ultrasound, filling was seen within the neighboring arterial structure (green arrows), but not within the vein. c Computed tomography scan showing grossly distended and thrombosed spermatic veins (green arrows). d Sagittal section and e transverse section: fat-compressed axial T1 magnetic resonance images demonstrated thrombosed tubular venous structure (green arrows) with increased wall thickness and focal diameter increase within the bilateral spermatic cord. Within this venous structure, intraluminal signal intensity was increased

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