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Spontaneous thrombosis of left spermatic vein: report of 2 cases.

We report 2 cases of spontaneous thrombosis of the left internal spermatic vein causing acute development of a painful scrotoinguinal mass. Both patients were treated by surgical ligation and excision of the thrombosed vein. Venous congestion and testicular ischemia occurred in 1 patient who required orchiectomy for massive swelling and pain. Based on our recent experience, we recommend conservative management of spontaneous spermatic vein thrombosis with anticoagulation (and possibly antibiotics).