# Rare case of left epididymo-orchitis complicated by pampiniform plexus thrombosis: A case report

## TL;DR

A 27-year-old man with a history of epididymo-orchitis developed a rare condition involving pampiniform plexus thrombosis, causing scrotal pain and swelling.

## Contribution

This case report presents a rare complication of epididymo-orchitis involving pampiniform plexus thrombosis.

## Key findings

- Ultrasonography confirmed left-side pampiniform plexus thrombosis in a patient with epididymo-orchitis.
- The case emphasizes the need to consider this rare condition in the differential diagnosis of acute scrotal pain.

## Abstract

Acute scrotal pain includes urgent conditions in urology, such as testicular torsion, testicular rupture, epididymo-orchitis, and abscess. However, varicocele (pampiniform plexus) thrombosis is considered to be a rare cause of such pain. We herein report a case of a 27-year-old male patient with a history of epididymo-orchitis, who complained of painful scrotal swelling. Ultrasonography showed left-side pampiniform plexus thrombosis. This case highlights a rare condition, which should be included in the differential diagnosis of acute scrotal pain, indicating the need for further studies to elucidate its pathophysiology and provide proper treatment for such cases.