Open Access

CASE REPORT

Diagnosis and management of a rare paratesticular venous malformation in a pediatric patient

D.C. Leslie^1,#, V.M. Ramakrishnan^2,#, J. Putra³, H.J. Paltiel⁴, H. Thaker^2,*

1 Department of Urology, Boston Medical Center, Boston, MA 02118, USA
2 Department of Urology, Boston Children’s Hospital, Boston, MA 02115, USA
3 Department of Anatomic Pathology, Boston Children’s Hospital, Boston, MA 02115, USA
4 Department of Radiology, Boston Children’s Hospital, Boston, MA 02115, USA

* Corresponding Author: H. Thaker. Email:
# These authors contributed equally to this work

Canadian Journal of Urology 2025, 32(1), 43-46. https://doi.org/10.32604/cju.2025.064688

Received 30 July 2024; Accepted 23 January 2025; Issue published 20 March 2025

Abstract

A 14-year-old presented with an asymptomatic left testicular mass after a brief episode of pain. Examination showed a non-tender left testis that was significantly larger than the right. Ultrasound revealed a 4.5-cm avascular mass and an absence of normal testicular parenchyma. Tumor markers were unremarkable. A CT scan demonstrated no lymphadenopathy but identified a prominent left spermatic cord. Due to a suspicion of chronic torsion vs. malignancy, a left radical orchiectomy was performed. Pathology identified a hemorrhagic paratesticular venous malformation without signs of germ cell neoplasia, a rare entity.

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Keywords

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