Lerner M A, Sacks B, Shapiro G
Urol Radiol. 1981;3(3):149-60. doi: 10.1007/BF02938783.
Retrograde flow in the left gonadal vein may be visualized in the venous phase of aortography or renal arteriography. In none of 13 cases was this due to a mass lesion at the renal hilum. Although the Valsalva maneuver may cause this flow reversal in some, in most cases it is due to anatomical structures or variants compressing the renal vein. These are detailed. Left gonadal vein reflux incidentally detected on the aortogram may thus indicate impaired left renal venous drainage and its consequences. There are also clinical and urographic constellations which merit aortography to detect left gonadal vein reflux for their elucidation.
在主动脉造影或肾动脉造影的静脉期可观察到左侧性腺静脉的逆流。13例中无一例是由于肾门处的肿块病变所致。虽然瓦尔萨尔瓦动作在某些情况下可能导致这种血流逆转，但在大多数情况下是由于解剖结构或变异压迫肾静脉所致。这些情况有详细说明。因此，在主动脉造影片上偶然发现的左侧性腺静脉逆流可能表明左肾静脉引流受损及其后果。也有一些临床和泌尿系统造影表现值得进行主动脉造影以检测左侧性腺静脉逆流，从而对其进行阐释。
