Extratesticular varicocoele is a common clinical finding, with well re
cognized sonographic appearances. We report the ultrasound findings in
a patient with intratesticular varicocoele (ITV), an extremely rare e
ntity, which was an incidental finding during scrotal sonography. Ther
e are differences in both the imaging findings and clinical presentati
on from previously reported cases. The history of undescended testis a
nd subsequent orchidopexy in our patient contribute to the aetiology o
f the ITV.