Wilms G, Oyen R, Casselman J, Peene P, Steeno O, Baert A L
Department of Radiology, University Hospitals K.U. Leuven, Belgium.
Urol Radiol. 1988;9(4):243-6. doi: 10.1007/BF02932677.
Among more than 850 patients undergoing outpatient sclerotherapy of the internal spermatic vein, only 1 unilateral and 1 predominantly right-sided varicocele were encountered. In both patients with this finding a total situs inversus was present, with inversion of normal anatomy, enlarged "right" internal spermatic vein draining into the renal vein, and the "left" internal spermatic vein entering the inferior vena cava directly. Total situs inversus should be considered whenever right-sided varicocele is solitary or predominant.
在850多名接受精索内静脉门诊硬化治疗的患者中，仅发现1例单侧和1例以右侧为主的精索静脉曲张。这两名有此发现的患者均存在完全性内脏反位，正常解剖结构倒置，扩大的“右侧”精索内静脉汇入肾静脉，“左侧”精索内静脉直接进入下腔静脉。每当右侧精索静脉曲张为孤立性或为主时，应考虑完全性内脏反位。
