A spermatic cord hematoma secondary to varicocele rupture from blunt abdominal trauma: a case report and review.

Varicocele is a relatively common entity that is mostly studied because of the effects on the testes and a presumed role in infertility. Hemorrhage secondary to a varicocele, however, is a known but rare morbidity. A case is presented of a ruptured varicocele due to blunt abdominal trauma with a sudden increase in intra-abdominal pressure with transmission to the varicocele. Such a mechanism may also provide an explanation for the occurrence of a more commonly recognized phenomenon of idiopathic spermatic cord hematoma.