Padur Ashwini Aithal, Kumar Naveen
Department of Anatomy, Melaka Manipal Medical College (Manipal Campus), Manipal Academy of Higher Education, Manipal, India.
Anat Cell Biol. 2019 Mar;52(1):105-107. doi: 10.5115/acb.2019.52.1.105. Epub 2019 Mar 29.
Surgeons should have a thorough knowledge regarding the morphologic variations of the testicular arteries as any injury to this artery during surgery might cause testicular atrophy. We report in here an unusual course of left testicular artery and discuss its embryological basis and its clinical implications. The left testicular artery had a high origin from the anterior aspect of the abdominal aorta at the level of origin of renal artery. In its further course, the left testicular artery passed through a hiatus present in the left renal vein. This unusual course of the testicular artery through the vascular hiatus might lead to its entrapment and is worth reporting in efforts to educate clinicians involved in abdominal and urogenital surgical procedures.
外科医生应全面了解睾丸动脉的形态变异，因为手术中该动脉的任何损伤都可能导致睾丸萎缩。我们在此报告一例左侧睾丸动脉的异常走行，并讨论其胚胎学基础及其临床意义。左侧睾丸动脉起源于肾动脉起始水平的腹主动脉前方，位置较高。在其进一步走行过程中，左侧睾丸动脉穿过左肾静脉内的一个裂孔。睾丸动脉通过血管裂孔的这种异常走行可能导致其受压，值得报告以警示参与腹部和泌尿生殖系统手术的临床医生。
