Preziosi P, Miano R, Bitelli M, Ciolfi M G, Micali S, Micali F
Department of Radiology, Policlinico Casilino, Tor Vergata University of Rome, Italy.
J Endourol. 2001 Dec;15(10):1001-3. doi: 10.1089/089277901317203092.
Isolated right varicocele is a rare condition. It could be secondary to a retroperitoneal neoplastic mass involving the right internal spermatic vein, but sometimes, an anatomic variant must be considered. We present a case of a young man with situs inversus and right varicocele, a mirror image of the normal condition, associated with inferior vena cava malformation, who was treated successfully with retrograde selective percutaneous sclerotherapy of the right internal spermatic vein. Selective sclerotherapy of the internal spermatic vein at the time of venography has proved to be a valuable therapeutic option in right-sided varicocele associated with anatomic abnormalities.
孤立性右侧精索静脉曲张是一种罕见病症。它可能继发于累及右侧精索内静脉的腹膜后肿瘤性肿块，但有时必须考虑解剖变异情况。我们报告一例患有内脏反位和右侧精索静脉曲张（正常情况的镜像）且伴有下腔静脉畸形的年轻男性病例，该患者通过右侧精索内静脉逆行选择性经皮硬化疗法获得成功治疗。静脉造影时对精索内静脉进行选择性硬化疗法已被证明是治疗伴有解剖异常的右侧精索静脉曲张的一种有价值的治疗选择。
