Varicocele with an Abdominal Mass

A 4-year-old boy presented with a painless, progressively enlarging abdominal lump associated with hematuria for a month. On examination, there was abdominal fullness with an ill-defined mass measuring 12 × 15 cm, extending from left lumbar to umbilical area. The mass was separate from the liver and did not arise from the pelvis (Figure 1). A left scrotal sac varicocele was noted (Figure 2).

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