Abstract

A scrotal varicocele is an abnormal dilation and tortuosity of the internal spermatic veins within the pampiniform plexus of the spermatic cord. Like cryptorchidism, varicocele is a common finding in otherwise normal males, may contribute significantly to the risk of infertility in adulthood, and is associated with a natural history that is poorly understood.  Usually the varicocoele is found in left side and is easy to diagnose. But in very rare condition it can be present on right side thus putting the clinicians in dilemma and confusing them with hernia. In our case we encountered with a 30yrs young man with right sided varicocoele mimicking inguinal hernia. Intraoperatively we got evidence of thickened spermatic cord along with varicocoele of pampiniform plexus with multiple small hard nodules may be due to thrombosis. Such rare and interesting presentation gives us a message to always keep varicocoele as differential diagnosis in all cases of inguinal hernia with a high index of suspicion in mind.

Key Words: Varicocele,  hernia.