{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T20:21:10Z","timestamp":1774124470310,"version":"3.50.1"},"reference-count":19,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,1,7]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Varicocelectomy is a commonly performed urologic procedure for the surgical correction of abnormal dilation of the venous pampiniform plexus draining the testicle. Of the surgical approaches, laparoscopic surgical correction is a minimally invasive approach, based on the Palomo varicocelectomy, which includes intentional ligation of the testicular artery. While common post-procedure outcomes and potential complications are well documented post-varicocelectomy, this case report and literature review details a man in his 20s who underwent a laparoscopic varicocelectomy and was subsequently found to have a central testicular lesion found on ultrasound to which MRI was performed to rule out a testicular tumour. In exploring this case, we also discuss the literature surrounding artery-sparing vs non-artery-sparing approaches. Although this imaging finding has been seen in other patients within our institution, we highlight this case to exemplify the need to differentiate incidental radiographic findings between benign and non-benign lesions.<\/jats:p>","DOI":"10.1136\/bcr-2025-270283","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T16:20:19Z","timestamp":1768839619000},"page":"e270283","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Central testicular lesion following varicocelectomy"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4785-5308","authenticated-orcid":false,"given":"Nicholas","family":"Brutus","sequence":"first","affiliation":[{"name":"Department of Urology, Yale New Haven Hospital, New Haven, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sisi","family":"Zheng","sequence":"additional","affiliation":[{"name":"Yale School of Medicine, New Haven, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Lisse","sequence":"additional","affiliation":[{"name":"Department of Radiology and Biomedical Imaging, Yale New Haven Hospital, New Haven, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam B","family":"Hittelman","sequence":"additional","affiliation":[{"name":"Department of Urology, Yale New Haven Hospital, New Haven, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,1,19]]},"reference":[{"key":"2026011908200930000_19.1.e270283.1","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1055\/s-0036-1586143","article-title":"The Varicocele: Clinical Presentation, Evaluation, and Surgical Management","volume":"33","author":"Lomboy","year":"2016","journal-title":"Semin intervent Radiol"},{"key":"2026011908200930000_19.1.e270283.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2012.05.005"},{"key":"2026011908200930000_19.1.e270283.3","unstructured":"Leslie SW , Sajjad H , Varicocele SLE . StatPearls. Treasure Island (FL): StatPearls Publishing LLC, 2025."},{"key":"2026011908200930000_19.1.e270283.4","first-page":"273","article-title":"Varicocelectomy: microsurgical subinguinal technique is the treatment of choice","volume":"1","author":"Zini","year":"2007","journal-title":"Can Urol Assoc J"},{"key":"2026011908200930000_19.1.e270283.5","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.jpurol.2017.06.017","article-title":"Two decades of experience with laparoscopic varicocele repair in children: Standardizing the technique","volume":"14","author":"Esposito","year":"2018","journal-title":"J Pediatr Urol"},{"key":"2026011908200930000_19.1.e270283.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2007.01.057"},{"key":"2026011908200930000_19.1.e270283.7","doi-asserted-by":"publisher","DOI":"10.1007\/s003830050440"},{"key":"2026011908200930000_19.1.e270283.8","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1111\/j.1464-410X.2008.08288.x","article-title":"Varicocele surgery: a decade\u2019s experience at a children\u2019s hospital","volume":"104","author":"Diamond","year":"2009","journal-title":"BJU Int"},{"key":"2026011908200930000_19.1.e270283.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.03.099"},{"key":"2026011908200930000_19.1.e270283.10","doi-asserted-by":"crossref","first-page":"101","DOI":"10.5534\/wjmh.2016.34.2.101","article-title":"Clinical Outcomes of Varicocele Repair in Infertile Men: A Review","volume":"34","author":"Chiba","year":"2016","journal-title":"World J Mens Health"},{"key":"2026011908200930000_19.1.e270283.11","doi-asserted-by":"crossref","first-page":"1357","DOI":"10.1016\/S0022-5347(17)36391-7","article-title":"Should the testicular artery be preserved at varicocelectomy?","volume":"149","author":"Matsuda","year":"1993","journal-title":"J Urol"},{"key":"2026011908200930000_19.1.e270283.12","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1159\/000107962","article-title":"Segmental testicular infarction following herniorrhaphy and varicocelectomy","volume":"79","author":"Calcagno","year":"2007","journal-title":"Urol Int"},{"key":"2026011908200930000_19.1.e270283.13","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1097\/00003072-198904000-00001","article-title":"Testicular ischemia and infarction following herniorrhaphy or varicocelectomy: evaluation by radionuclide imaging","volume":"14","author":"Nagle","year":"1989","journal-title":"Clin Nucl Med"},{"key":"2026011908200930000_19.1.e270283.14","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-007-0674-2"},{"key":"2026011908200930000_19.1.e270283.15","doi-asserted-by":"crossref","first-page":"587","DOI":"10.2217\/iim.11.40","article-title":"Role of ultrasound in the diagnosis of testicular lesions","volume":"3","author":"Lung","year":"2011","journal-title":"Imaging Med"},{"key":"2026011908200930000_19.1.e270283.16","first-page":"1698","article-title":"Segmental testicular infarction: diagnosis and strategy","volume":"9","author":"Sentilhes","year":"2002","journal-title":"Can J Urol"},{"key":"2026011908200930000_19.1.e270283.17","doi-asserted-by":"crossref","first-page":"1587","DOI":"10.2214\/ajr.184.5.01841587","article-title":"Radiologic findings of segmental testicular infarction","volume":"184","author":"Fern\u00e1ndez-P\u00e9rez","year":"2005","journal-title":"AJR Am J Roentgenol"},{"key":"2026011908200930000_19.1.e270283.18","doi-asserted-by":"crossref","DOI":"10.1186\/s12894-022-01006-7","article-title":"A case report of acute testicular pain secondary to segmental testicular infarction","volume":"22","author":"Jin","year":"2022","journal-title":"BMC Urol"},{"key":"2026011908200930000_19.1.e270283.19","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.20197"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-270283","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T16:20:21Z","timestamp":1768839621000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-270283"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,19]]},"published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1136\/bcr-2025-270283"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-270283","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}