A case report of a left testicular artery variation

Document Type : Case report

Authors

1 Department of Reproductive Biology and Anatomy, Medical College, Shahid Beheshti Medical University, Tehran, Iran

2 1_Department of Reproductive Biology and Anatomy, Medical College, Shahid Beheshti Medical University, Tehran, Iran 2_Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Background :The testicular artery is a branch of the abdominal aorta that originates below the origin of the renal artery at the level of the second lumbar spine. This artery has variations in its origin and pathway and may originate from the renal artery, internal or common iliac, higher levels of the abdominal aorta .The main artery is the testis feeder and plays an important role in the physiology of the testes, testicular surgery and the kidney. Testicular artery variation is associated with renal anomalies and variations.
Case report : During a posterior abdominal wall dissection, a 45-year-old man was observed in the department of biology and anatomy of shahid beheshti university of medical sciences after separating the parietal peritoneum from the posterior wall elements. the left testicular artery is separated from the left renal artery.
Results: Knowing these variations during testicular, kidney, abdominal and pelvic surgery is important to prevent complications such as kidney hypoperfusion.

Keywords


1.Kocabıyık N, Yalçın B, Kılıç C, Kırıcı Y, Ozan H. Accessory renal arteries and an anomalous testicular artery of high origin. Gulhane Med J. 2005;47(2):141-3.
2.Paraskevas GK, Ioannidis O, Raikos A, Papaziogas B, Natsis K, Spyridakis I, et al. High origin of a testicular artery: a case report and review of the literature. Journal of medical case reports. 2011;5(1):75.
3.Ahlberg N, Bartley O, Chidekel N. Right and left gonadal veins: an anatomical and statistical study. Acta Radiologica Diagnosis. 1966;4(6):593-601.
4.Machnicki A, Grzybiak M. Variations in testicular arteries in fetuses and adults. Folia morphologica. 1997;56(4):277-85.
5.Standring S. Gray's anatomy e-book: the anatomical basis of clinical practice: Elsevier Health Sciences; 2015.
6.Çiçekcibaşi AE, Salbacak A, Şeker M, Ziylan T, Büyükmumcu M, Uysal IIl. The origin of gonadal arteries in human fetuses: anatomical variations. Annals of Anatomy-Anatomischer Anzeiger. 2002;184(3):275-9.
7.Lippert H, Pabst R. Arterial variations in man: classification and frequency: Springer; 1985.
8.Moore KL, Dalley AF, Agur AM. Clinically oriented anatomy: Lippincott Williams & Wilkins; 2013.
9.Acar HI, Yazar F, Ozan H. Unusual origin and course of the testicular arteries. Surgical and Radiologic Anatomy. 2007;29(7):601-3.
10.Mijac M. Variations in the origin of ovarian and testicular arteries. Srp Arh Celok Lek. 1983;111:609-15.
11.Asala S, Chaudhary SC, Masumbuko-Kahamba N, Bidmos M. Anatomical variations in the human testicular blood vessels. Annals of Anatomy-Anatomischer Anzeiger. 2001;183(6):545-9.
12.Ravery V, Cussenot O, Desgrandchamps F, Teillac P, Martin-Bouyer Y, Lassau J, 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. Surgical and Radiologic Anatomy. 1993;15(4):355-9.
13.Bergman RA, Afifi AK, Miyauchi R. Gonadal (ovarian and spermatic or testicular) Arteries. Anatomy Atlases [online] Available at: www anatomyatlases org/AnatomicVariants/Cardiovascular/Text/Arteries/Gonadal shtml Accessed May. 2006;1.
14.Pai MM, Vadgaonkar R, Rai R, Nayak S, Jiji P, Ranade A, et al. A cadaveric study of the testicular artery in the South Indian population. Singapore medical journal. 2008;49(7):551.
15.Lall K, Dhar P. MAIN AND ACCESSORY RENAL ARTERIES-A MORPHOLOGICAL STUDY. Federation of American Societies for Experimental Biology; 2008.
16.Brohi R, Sargon M, Yener N. High origin and unusual suprarenal branch of a testicular artery. Surgical and Radiologic Anatomy. 2001;23(3):207-8.
17.Önderoğlu S, Yüksel M, Arık Z. Unusual branching and course of the testicular artery. Annals of Anatomy-Anatomischer Anzeiger. 1993;175(6):541-4.
18.Shinohara H, Nakatani T, Fukuo Y, Morisawa S, Matsuda T. Case with a high‐positioned origin of the testicular artery. The Anatomical Record. 1990;226(2):264-6.
19.Shoja MM, Tubbs RS, Shakeri AB, Oakes WJ. Origins of the gonadal artery: embryologic implications. Clinical Anatomy: The Official Journal of the American Association of Clinical Anatomists and the British Association of Clinical Anatomists. 2007;20(4):428-32.
20.Mamatha H, D’Souza AS, Vinodhini P, Ray B. A cadaveric study about the anomolous origin of testicular arteries arising from the accessory renal arteries. Indian Journal of Surgery. 2015;77(2):111-6.
21.Petru B, Elena Ş, Dan I, Constantin D. The morphology and the surgical importance of the gonadal arteries originating from the renal artery. Surgical and Radiologic Anatomy. 2007;29(5):367-71.
22.Ozan H, Gümüşalan Y, Önderoğlu S, Şimşek C. High origin of gonadal arteries associated with other variations. Annals of Anatomy-Anatomischer Anzeiger. 1995;177(2):157-60.