Left testicular artery arching over the ipsilateral renal vein / 亚洲男科学杂志(英文版)

ABSTRACT

<p><b>AIM</b>To report two cases of the left testicular artery arching over the left renal vein (LRV) before running downward to the testis.</p><p><b>METHODS</b>The subjects were obtained from two Japanese cadavers. During the student course of gross-anatomical dissection, the anatomical relationship between the testicular vessels and the renal vein was specifically observed.</p><p><b>RESULTS</b>The arching left testicular artery arose from the aorta below the LRV and made a loop around the LRV, which appeared to be mildly compressed between the arching artery and the psoas major muscle.</p><p><b>CONCLUSION</b>Clinically, compression of the LRV between the abdominal aorta and the superior mesenteric artery occasionally induces LRV hypertension, resulting in varicocele, orthostatic proteinuria and hematuria. Considering that the incidence of a left arching testicular artery is higher than that of a right one, an arching left artery could be an additional cause of LRV hypertension.</p>