This case highlights the diagnostic challenges of testicular vein syndrome and underscores the importance of detailed imaging and clinical correlation. The proposed Valsalva Flank Pain Sign may serve as a simple bedside tool to raise suspicion of this rare entity. Excretory-phase computed tomography remains the imaging modality of choice for diagnosis. The association with testicular varices suggests a potential shared pathophysiological mechanism involving venous hypertension.
Al-Bitar et al. (2026) studied this question.