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Practice Interactive case report

70 year old man with scrotal swelling, abdominal aortic aneurysm, and renal lesions: case report

BMJ 2006; 332 doi: (Published 13 April 2006) Cite this as: BMJ 2006;332:899
  1. Saroj Kumar Das, consultant vascular surgeon (,
  2. Devdatta Sarwate, senior house officer1,
  3. J K Mordani, consultant radiologist1,
  4. K J Ng, consultant urologist1,
  5. Mark Nel, consultant anaesthetist1
  1. Hillingdon Hospital, Uxbridge, Middlesex UB8 3NN
  1. Correspondence to: S K Das
  • Accepted 2 December 2005

Mr Mahon is a 70 year man who was referred to vascular outpatients by his general practitioner. He complained of a scrotal swelling, which had developed gradually over several months and was causing slight discomfort in his daily activities. He was obese and had a hydrocele on the right side of the scrotum and a small varicocele on the left.

Mr Mahon handed us a report from ultrasonography of his abdomen and scrotum that his general practitioner had requested. This reported an abdominal aortic aneurysm, measuring about 7 cm at the widest point (anterior-posterior). In addition, an eccentric complex cyst was evident in the interpolar …

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