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Testicular veins are known to show many variations in their origin, course and termination. Some of their variations can lead to male sterility. We report a unique variation of right testicular vein here. Pampiniform plexus reduced to three testicular veins (medial, middle and lateral) at the deep inguinal ring on the right side. The medial vein terminated into the right renal vein, the middle vein terminated into the inferior vena cava above the level of right renal vein (close to the suprarenal gland) and the lateral vein terminated partly into the veins in the capsules of the kidney and partly into the veins under the diaphragm. The medial and middle testicular veins were connected through an oblique communicating vein. The middle and lateral testicular veins were also connected to each other through another oblique communicating vein. Knowledge of this case could be useful to radiologists, nephrologists and surgeons in general.
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http://dx.doi.org/10.1016/j.heliyon.2020.e05014 | DOI Listing |
Objective: To compare the clinical efficacy between microscopic varicocelectomy and laparoscopic varicocelectomy in the treatment of varicocele(VC)with male infertility.
Methods: A total of 307 patients who were diagnosed with VC complicated with male infertility and admitted to the Affiliated Hospital of Qingdao University from October 2018 to October 2022 were recruited for retrospective analysis. The patients were divided into the microscopic group (180 cases) and laparoscopic group (127 cases) according to the surgery method.
Cureus
June 2025
Urology, All India Institute of Medical Sciences, Rishikesh, IND.
Objective Abdominopelvic vascular compression syndromes occur when the vascular structures either cause compression or are compressed by the surrounding hollow viscera. Apart from retrocaval ureter and UPJO (ureteropelvic junction obstruction), ureteric compression by other vascular structures is rare. We present five rare cases of ureter compression caused by the inferior mesenteric vein, testicular vein, ovarian vein, common iliac arteries, and an unnamed tributary of the inferior vena cava (IVC).
View Article and Find Full Text PDFProteomes
July 2025
Complex Operative Unit of Internal Medicine, Endocrinology and Diabetology, Department of Translational Medicine and Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
Background: Varicocele is a common condition involving the dilation of veins in the scrotum, often linked to male infertility and testicular dysfunction. This study aimed to elucidate the molecular effects of successful varicocele treatment on sperm proteomes following percutaneous sclero-embolization.
Methods: High-resolution tandem mass spectrometry was performed for proteomic profiling of pooled sperm lysates from five patients exhibiting improved semen parameters before and after (3 and 6 months) varicocele sclero-embolization.
BMJ Case Rep
July 2025
Medical Oncology, University of Florida Health, Gainesville, Florida, USA
Non-seminomatous germ cell tumours are aggressive testicular malignancies that can rarely present with intravascular tumour thrombus, a complication associated with significant morbidity and complex management. We report a young man with a mixed non-seminomatous germ cell tumour who presented with pulmonary embolism and a large tumour thrombus extending from the inferior vena cava to the right atrium and pulmonary veins. Due to haemodynamic instability, he received therapeutic anticoagulation and an abridged 'cycle 0' chemotherapy regimen, followed by standard bleomycin, etoposide and cisplatin and delayed orchiectomy.
View Article and Find Full Text PDFJ West Afr Coll Surg
February 2025
Department of Radiology, Lagos University Teaching Hospital, Lagos, Nigeria.
Background: The nutcracker phenomenon (NCP) is a rare and often unrecognised cause of varicocele, haematuria, and chronic pelvic pain due to the left renal vein (LRV) compression between the aorta and the superior mesenteric artery (anterior nutcracker). Its varied clinical manifestations make the diagnosis difficult and usually delayed. A high index of clinical suspicion, with appropriate imaging studies is crucial for the diagnosis.
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