TESTIS - Infarction, hydrocele and varicocele

Specimen is a transected left testis with attached cord. The cord contains a varicocele. The tunica vaginalis is included, this is thickened in areas and there is a moderate hydrocele. The hydrocele sac is line by blood clot and proteinacious exudate. An intravascular coil is present towards the cut edge of the cord. The testis shows diffuse haemorrhagic infarction as does the overlying appendix testis.
The patient had a long-standing varicocele and attempts were made to thrombose this by the introduction of a coil into the venous system. Microscopically the vessels of the epididymis showed widespread obliterative endarteritis which has resulted in testicular infarction.