|Title:||左精索静脈症候群(Left spermatic vein syndrome)の1例|
|Other Titles:||LEFT SPERMATIC VEIN SYNDROME: A CASE REPORT|
|Authors:||村山, 和夫 |
|Author's alias:||Murayama, Kazuo|
|Abstract:||A 19-year-old male was admitted with the chief complaint of left flank pain. Physical examination revealed a large varicocele on the left side. DIP and left renal venogram showed mild dilatation of the left renal pelvis and of connecting proximal ureter in relation to a dilated testicular vein intersecting the ureter. At 1 cm below the renal vein, left testicular vein had aberrant branches communicating renal vein and renal capsular vein. Aortogram showed two renal arteries. At operation, thickened fibrous adhesion was found between the testicular vein and the proximal ureter. The left renal vein medial to orifice of the aberrant testicular branch was compressed by one of the renal arteries running across the renal vein. The testicular vein was resected and fibrous adhesion were removed. After operation, DIP demonstrated the complete remission of ureteral obstruction and the varicocele disappeared. This case seemed to belong to the left spermatic vein syndrome advocated by Lassnig and Ferick (1978). A review of literature and some discussion on this entity were made.|
|Appears in Collections:||Vol.25 No.3|
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