THE RARE ASSOCIATION BETWEEN SPONTANEOUS PAMPINIFORM PLEXUS THROMBOSIS AND ANTIPHOSPHOLIPID ANTIBODY SYNDROME (APS), ONE CASE REPORT

Spontaneous pampiniform plexus thrombosis is rare and difficult to diagnose, with a clinical condition similar to other causes of scrotal pain. It is usually associated with intense physical effort, resulting in an increase of intra-abdominal pressure and reduction of venous return. Ultrasonographic findings are similar to those of varicocele; the vessels of the pampiniform plexus are dilated, with a caliber >3 mm, but with echogenic material characterizing in the interior representing intraluminal thrombi. Antiphospholipid Antibody Syndrome (APS) should be part of the differential diagnosis of arterial and / or venous thromboses, especially in young patients. The pathophysiology of APS is not fully understood, however, it is assumed that the clinical manifestations are basically due to vascular thromboses.