Antegrade pampiniform plexus venography in recurrent varicocele:Case report and anatomy review  

作　　者：Vyacheslav Gendel Ihab Haddadin John L Nosher 

机构地区：[1]Department of Radiology,UMDNJ,Robert Wood Johnson University Hospital,New Brunswick,NJ 08901,United States

出　　处：《World Journal of Radiology》2011年第7期194-198,共5页世界放射学杂志（英文版）（电子版）

摘　　要：Varicoceles are often treated with percutaneous embolization,using fibered coils and sclerosing agents,with the latter targeted at occlusion of pre-existing collateral veins.While various methods of surgical and embolization treatment are available,varicoceles may still recur from venous collateralization.We present a case,where following demonstration of complete occlusion of the right and left gonadal veins,direct puncture of the pampiniform venous plexus under ultrasound guidance revealed recurrent varicoceles supplied by anastomoses from the ipsilateral saphenous and femoral veins to the pampiniform plexus.In doing so,we describe a technique of percutaneous pampiniform venography in a case where the pertinent anatomy was not easily demonstrated by other methods.Varicoceles are often treated with percutaneous embolization, using fibered coils and sclerosing agents, with the latter targeted at occlusion of pre-existing collateral veins. While various methods of surgical and embolization treatment are available, varicoceles may still recur from venous collateralization. We present a case, where following demonstration of complete occlusion of the right and left gonadal veins, direct puncture of the pampiniform venous plexus under ultrasound guidance revealed recurrent varicoceles supplied by anastomoses from the ipsilateral saphenous and femoral veins to the pampiniform plexus. In doing so, we describe a technique of percutaneous pampiniform venography in a case where the pertinent anatomy was not easily demonstrated by other methods.

关 键 词：VARICOCELE EMBOLIZATION Pampiniform PLEXUS VENOGRAPHY 

分 类 号：R697.24[医药卫生—泌尿科学]