TY - EJOU AU - Leslie, D.C. AU - Ramakrishnan, V.M. AU - Putra, J. AU - Paltiel, H.J. AU - Thaker, H. TI - Diagnosis and management of a rare paratesticular venous malformation in a pediatric patient T2 - Canadian Journal of Urology PY - 2025 VL - 32 IS - 1 SN - 1488-5581 AB - A 14-year-old presented with an asymptomatic left testicular mass after a brief episode of pain. Examination showed a non-tender left testis that was significantly larger than the right. Ultrasound revealed a 4.5-cm avascular mass and an absence of normal testicular parenchyma. Tumor markers were unremarkable. A CT scan demonstrated no lymphadenopathy but identified a prominent left spermatic cord. Due to a suspicion of chronic torsion vs. malignancy, a left radical orchiectomy was performed. Pathology identified a hemorrhagic paratesticular venous malformation without signs of germ cell neoplasia, a rare entity. KW - testicular mass; testicular torsion; vascular malformation DO - 10.32604/cju.2025.064688