Bilateral low origin of testicular artery: a case report
Origem bilateral baixa de artéria testicular: relato de caso
Satheesha Nayak Badagabettu, Swamy Ravindra Shantakumar, Surekha Devadas Shetty, Gayathri Prabhu
Abstract
The testicular artery is frequently subjected to radiographic imaging techniques such as angiography for diagnosis and treatment of conditions like epididymitis, testicular torsion, tumor, hematoma, and hydrocele and in cases of undescended testis. Radiologists and surgeons should therefore be aware of testicular artery variants. Although there are numerous studies and case reports that mention testicular artery variants, this is probably the first case, reporting a bilateral low origin of the testicular artery and discussing its probable embryological etiology.
Keywords
Resumo
A artéria testicular é frequentemente examinada por técnicas de imagem como angiografia, para o diagnóstico e tratamento de condições como epididimite, torsão testicular, tumor, hematoma e hidrocele, e também em casos de criptorquidia. Sendo assim, radiologistas e cirurgiões devem estar cientes de variantes anatômicas da artéria testicular. Embora numerosos estudos e relatos de caso mencionem variantes da artéria testicular, este provavelmente é o primeiro caso a descrever origem bilateral baixa da artéria testicular e a discutir sua provável etiologia embriológica
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References
1. Singh R, Jaiswal A, Shamal SN, Singh SP. Variation in the origin of the testicular arteries and drainage of the right testicular vein. Int J Morphol. 2011;29(2):614-6. http://dx.doi.org/10.4067/S0717-95022011000200052.
2. Çiçekcibaşi AE, Salbacak A, Seker M, Ziylan T, Büyükmumcu M, Uysal II. The origin of gonadal arteries in human fetuses: anatomical variations. Ann Anat. 2002;184(3):275-9. PMid:12056759. http://dx.doi.org/10.1016/S0940-9602(02)80126-1.
3. Paraskevas GK, Ioannidis O, Raikos A, et al. High origin of a testicular artery: a case report and review of the literature. J Med Case Reports. 2011;5(1):75. PMid:21345184. http://dx.doi.org/10.1186/1752-1947-5-75.
4. Machnicki A, Grzybiak M. Variations in testicular arteries in fetuses and adults. Folia Morphol. 1997;56(4):277-85. PMid:9635363.
5. Pai MM, Vadgaonkar R, Rai R, et al. A cadaveric study of the testicular artery in the South Indian population. Singapore Med J. 2008;49(7):551-5. PMid:18695863.
6. Bergman RA, Cassel MD, Sahinoglu K, Heidger PM Jr. Human doubled renal and testicular arteries. Ann Anat. 1992;174(4):313-5. PMid:1416060. http://dx.doi.org/10.1016/S0940-9602(11)80292-X.
7. Shinohara H, Nakatani T, Fukuo Y, Morisawa S, Matsuda T. Case with highpositioned origin of the testicular artery. Anat Rec. 1990;226(2):264-6. PMid:2301743. http://dx.doi.org/10.1002/ar.1092260216.
8. Onderoğlu S, Yüksel M, Arik Z. Unusual branching and course of the testicular artery. Ann Anat. 1993;175(6):541-4. PMid:8297041. http://dx.doi.org/10.1016/S0940-9602(11)80219-0.
9. Brohi RA, Sargon MF, Yener N. High origin and unusual suprarenal branch of a testicular artery. Surg Radiol Anat. 2001;23(3):207-8. PMid:11490935. http://dx.doi.org/10.1007/s00276-001-0207-7.
10. Ozan H, Gümüşalan Y, Önderoğlu S, Simşek C. High origin of gonadal arteries associated with other variations. Ann Anat. 1995;177(2):156-60. PMid:7741277. http://dx.doi.org/10.1016/S0940-9602(11)80066-X.
11. Satheesha NB. Abnormal course of left testicular artery in relation to an abnormal left renal vein: a case report. Kathmandu Univ Med J. 2007;5(1):108-9. PMid:18603997.
12. Felix W. Mesonephric arteries (aa. mesonephricae). In: Keibel F, Mall FP, editors. Manual of Human Embryology. Philadelphia: Lippincott; 1912. p. 820-5. vol. 2.
13. Nordmark L, Nyberg G. Angiography of the testicular artery. IV. Magnification angiography in intrascrotal abnormalities. Acta Radiol Diagn. 1979;20(2):353-68. PMid:495183. http://dx.doi.org/10.1177/028418517902000207.
14. Kormano M, Nordmark L. Angiography of the testicular artery. III. Testis and epididymis analysed with a magnification technique. Acta Radiol Diagn. 1977;18(6):625-33. PMid:343507. http://dx.doi.org/10.1177/028418517701800603.
15. Domellöf L, Hjälmås K, Nordmark L, Nyberg G. Angiography of the testicular artery as a diagnostic aid in boys with nonpalpable testis. J Pediatr Surg. 1978;13(6):534-6. PMid:30810. http://dx.doi.org/10.1016/S0022-3468(78)80324-8.
16. Yeung CK, Tam YH, Chan YL, Lee KH, Metreweli C. A new management algorithm for impalpable undescended testis with gadolinium enhanced magnetic resonance angiography. J Urol. 1999;162(3):998-1002. PMid:10458420. http://dx.doi.org/10.1016/S0022-5347(01)68046-7.
17. Ravery V, Cussenot O, Desgrandchamps F, et al. Variations in arterial blood supply and the risk of hemorrhage during percutaneous treatment of lesions of the pelviureteral junction obstruction: Report of a case of testicular artery arising from an inferior polar renal artery. Surg Radiol Anat. 1993;15(4):355-9. PMid:8128346. http://dx.doi.org/10.1007/BF01627892.
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