We present the case of a male patient with no significant pathological history, who experienced abdominal pain radiating to the genital area. An incidental diagnosis of spontaneous venous thrombosis in the epigastric vein, extending to the scrotal vein, was made via Doppler ultrasound. The patient subsequently required anticoagulant therapy. Thromboembolic disease is a condition associated with cardiovascular complications, and its etiology is multifactorial. Doppler ultrasound was the diagnostic method of choice. This report describes a patientwith no relevant medical history, presenting with nonspecific abdominal pain and findings of thrombosis in the epigastric vein, extending to the scrotal vein. Complementary studies revealed elevated lupus anticoagulant levels, which supports the inclusion of this pathology in the differential diagnosis of abdominal pain.

Cholesteatoma is a soft-looking, compressible mass mainly associated with hypoacusis. Its diagnosis is made by otoscopy, but if the physical examination is not conclusive, radiological studies should be performed. Its presentation is infrequent; thus, the incidence of acquired cholesteatoma per year in Colombia is 3/100000 children and 9.2/100000 adults. It is important in the evaluations that each health personnel can recognize it and refer it, allowing early surgical intervention to avoid invasive clinical pictures that can increase the possibility of complications. Our objective was to describe the importance of cholesteatoma with its clinical implications in different patients with auditory pathology, which allows to understand the importance of timely diagnosis. A literature search was performed in PubMed and Scielo databases, oriented towards updated and relevant articles in Englis...