• Raúl Espinosa Bravo, Manuel Lemourt Oliva, Antonio Felipe Pérez Monzón, Martha Puente Guillen, Magdelín Navarro Cutiño, Onelia Sandoval López, and Arelín de la C Fuentes Milera.
• España, Servicio de Urología Hospital Freyre de Andrade, Ciudad de la Habana, Cuba.
• Arch. Esp. Urol. 2003 Jun 1;56(5):533-5.

ObjectivesTo report a rare case of left renal cell carcinoma causing simultaneous acute left varicocele. We also performed a bibliographic review.MethodsWe present the case of a male adult who was diagnosed as having a left varicocele during a medical exam at his work center and referred to the urology clinic. On physical examination a left flank and hypochondrium mass was found. We analyze the diagnostic tests performed and possible therapies.ResultsWith the diagnosis of left hypernephroma the patient underwent surgery. A big lower pole and medial portion kidney tumor displacing neighbor structures was found, and left radical nephrectomy was performed.ConclusionsAlthough it was easy to diagnose a hypernephroma with the diagnostic tests performed, the clinical presentation is not frequent, neither is the sudden onset of left varicocele. Currently, after 8 years of follow-up, the patient has normal blood-ultrasound tests.

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