TESTIS - Thrombosed varicocoele

The specimen consists of testis, epididymus and cord. Between 9 and 11 o'clock on the specimen there is a hydrocoele; at the lower pole of the testis, part of the epididymus can be seen. The epididymus is otherwise not recognisable, being expanded by a haemorrhagic cystic area 5 x 1 cm., surrounded by dense fibrous tissue. The testis itself is, perhaps, rather smaller than usual, and shows a thickened tunica. The cord appears normal. This lesion was initially regarded as infected but, when the swelling produced by the thrombosed varicocoele did not subside, the testis was removed.