Abstract
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.
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Dubin L, Amelar RD: Etiologic factors in 1294 consecutive cases of male infertility.Fertil Steril 22:469–474, 1971
Jecht E: Varikozele und Ferilität.Z Hautgesclechtskr 138:177, 1977
Steeno O, Knops J, Declerck L, Adimoelja A, Van De Voorde H: Prevention of fertility disorders by detection and treatment of varicocoele at school and college age.Andrologia 47:8, 1971
Mac Lead J: Seminal cystology in the presence of varicocoele.Fertil Steril 16:735–757, 1965
Tjia TT, Rumping WJM, Landman GAM, Cobben JJ: Phlebography of the internal spermatic vein (and the ovarian vein).Diagn Imaging 51:8–18, 1982
Bigot JM, Barret F, Helenon C: Phlebography of the right spermatic vein in varicoceles. In Jecht EW, Zeitler E (eds):Varicocoele and Male Infertility. Recent Advances in Diagnosis and Therapy. Berlin/Heidelberg: Springer-Verlag, 1982, pp 59–67
Comhaire F, Kunnen M, Nahoum C: Radiological anatomy of the internal spermatic vein in 200 retrograde venograms.Int J Androl 4:379–387, 1981
Formanek A, Rusnak B, Zollikofer C, Castaneda-Zuniga WR, Narayan P, Gonzalez R, Amplatz K: Embolization of the spermatic vein for treatment of infertility: a new approach.Radiology 139:315–321, 1981
Kunnen M: Neue Technik zur Embolisation der Vena spermatica interna:intravenöser Gewebekleber.RÖFÖ 133(6):625–629, 1980
Seyferth W, Jecht E, Zeitler E: Percutaneous sclerotherapy of varicocele.Radiology 139:335–340, 1981
Marsman JWP: Evaluation of a new distal delivery guidewire for steel coils.Eur J Radiol 2:250–253, 1982
White RI, Kaufman SL, Klemens HB, Kadir S, Smyth JW, Walsh PC: Occlusion of varicoceles with detachable baloons.Radiology 139:327–334, 1981
Riedl P: Selektive Phlebographie und Katheterthrombosierung der Vena testicularis bei primärer Varikocele. Eine angiographische-anatomische und Klinische Studie.Beil Wien Klin Wochenschr 91(9):1–20, 1979
Mali WP, Schuur K: Deep spermatic vein embolization with a straight catheter.AJR 140:168, 1983
Wilms G, Oyen R, Casselman J, Baert AL: Percutaneous sclerotherapy of the internal spermatic vein for varicocele through an open ended guide wire.RÖFÖ 147(2):168–170, 1987
Kaufman SL, Kadir S, Barth KH, Smyth JW, Walsh PC, White RI Jr: Mechanisms of recurrent varicocele after balloon occlusion or surgical ligation of the internal spermatic vein.Radiology 147:435–440, 1983
Shuman L, White RI, Mitchell SE, Kadir S, Kaufman SL, Chang R: Right-sided varicocele: technique and clinical results of balloon embolotherapy from the femoral approach.Radiology 158:787–791, 1986
Wutz J: Epidemiology of idiopathic varicocele. In Jecht EW, Zeitler E (eds):Varicocoele and Male Infertility. Recent Advances in Diagnosis and Therapy. Berlin/Heidelberg: Springer-Verlag, 1982, pp 2–3.
Grillo-Lopez AJ: Primary right varicocele.J Urol 105:540–541, 1971
Ludwig G: Pathogenesis of varicocele. In Jecht EW, Zeitler E (eds):Varicocele and Male Infertility. Recent Advances in Diagnosis and Therapy. Berlin/Heidelberg: Springer-Verlag, 1982, pp 6–11
Wilms G, Oyen R, Baert AL: Left spermatic vein in left-sided vena cava.Cardiovasc Intervent Radiol 10:258–260, 1987
Aitken et al: Analysis of sperm function in Kartagener’s syndrome.Fertil Steril 40:696–698, 1983
Arge et al, Transposition of the viscera and sterility in men.Lancet 1:412–414, 1960
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Wilms, G., Oyen, R., Casselman, J. et al. Solitary or predominantly right-sided varicocele: A possible sign of situs inversus. Urol Radiol 9, 243–246 (1988). https://doi.org/10.1007/BF02932677
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DOI: https://doi.org/10.1007/BF02932677