DOI: https://doi.org/10.36347/sjmcr.2026.v14i04.050

Pages: 800-803

Varicose veins are most commonly found in the legs, but they may also appear on the thighs and up to the groin. Scrotal localization of varicose veins is an exceptional situation; to date, no published cases of spontaneous rupture of scrotal skin varices have been found in the literature. We report a case of spontaneous rupture of a scrotal varicose vein in a 74-year-old male with no particular medical history. He had presented with scrotal varices for 6 months and was admitted to the emergency department with active scrotal bleeding due to sudden rupture of a varicose vein, with no associated trauma. Given his hemodynamic instability, the patient was transferred to the operating room for surgical exploration, which revealed several dilated and tortuous subcutaneous veins in the scrotum. The ruptured vein was ligated. The outcome was satisfactory with hemodynamic stabilization.