Андрология и генитальная хирургия. 2023; 24: 157-161
Изолированное варикоцеле справа у пациента с situs inversus totalis: клинический случай
https://doi.org/10.17650/2070-9781-2023-24-1-157-161Аннотация
Изолированное варикоцеле справа – достаточно редкое заболевание, которое может быть ассоциировано с неопластическими процессами, затрагивающими систему семенной вены. По современным данным, нет четкой связи между варикоцеле справа и новообразованиями. Таким образом, этиология обоснованно связана с другими состояниями. Зеркальная транспозиция внутренних органов – одно из них. Situs inversus totalis (SIT) – редкая аутосомно-рецессивная врожденная аномалия с частотой выявляемости 1 случай на 10 тыс. новорожденных. Этиологию варикоцеле справа при SIT, учитывая строение правой семенной вены, впадающей в почечную, при исключении других причин можно считать аналогичной этиологии варикоцеле слева у обычных мужчин, включая недостаточность венозных клапанов и разницу венозного давления. Показания к операции и выбор оперативной техники также не отличаются. Факт редкости опубликованных материалов по лечению варикоцеле справа на фоне SIT побудил нас поделиться данным клиническим случаем.
Список литературы
1. Masson P., Brannigan R.E. The Varicocele. Urol Clin North Am 2014;41(1):129–44. DOI: 10.1016/j.ucl.2013.08.001
2. Gleason A., Bishop K., Xi Y., Fetzer D.T. Isolated right-sided varicocele: Is further workup necessary? Am J Roentgenol 2019;212(40):802–7. DOI: 10.2214/AJR.18.20077
3. Itani M., Kipper B., Corwin M.T. et al. Right-sided scrotal varicocele and its association with malignancy: a multi-institutional study. Abdom Radiol 2021;46(5):2140–5. DOI: 10.1007/s00261-020-02840-9
4. Funari M.P., Ribeiro I.B., Hirsch B.S. et al. ERCP maneuvers for situs inversus totalis. Arq Gastroenterol 2021;58(2):264–5. DOI: 10.1590/S0004-2803.202100000-45
5. Chen W., Guo Z., Qian L., Wang L. Comorbidities in situs inversus totalis: A hospital-based study. Birth Defects Res 2020;112(5):418–26. DOI: 10.1002/bdr2.1652
6. Yasim A., Resim S., Sahinkanat T. et al. Clinical and subclinical varicocele incidence in patients with primary varicose veins requiring surgery. Ann Vasc Surg 2013;27(6):758–61. DOI: 10.1016/j.avsg.2012.07.031
7. Esteves S.C., Miyaoka R., Roque M., Agarwal A. Outcome of varicocele repair in men with nonobstructive azoospermia: systematic review and meta-analysis. Asian J Androl 2016;18(2):246–53. DOI: 10.4103/1008-682X.169562
8. Попова А.Ю., Гамидов С.И., Овчинников Р.И. и др. Варикоцеле и необструктивная азооспермия – с чего начать? Андрология и генитальная хирургия 2017;18(4):77–80. DOI: 10.17650/2070-9781-2017-18-4-77-80
9. Khera M., Lipshultz L.I. Evolving approach to the varicocele. Urol Clin North Am 2008;35(2):183–9. DOI: 10.1016/j.ucl.2008.02.001
10. Chen S.-S., Chen L.-K. Risk factors for progressive deterioration of semen quality in patients with varicocele. Urology 2012;79(1): 128–32. DOI: 10.1016/j.urology.2011.08.063
11. Donkol R.H., Salem T. Paternity after varicocelectomy: preoperative sonographic parameters of success. J Ultrasound Med 2007;26(5): 593–9. DOI: 10.7863/jum.2007.26.5.593
12. Hussein A.F. The role of color Doppler ultrasound in prediction of the outcome of microsurgical subinguinal varicocelectomy. J Urol 2006:176(5):2141–5. DOI: 10.1016/j.juro.2006.07.009
13. Lund L., Hahn-Pedersen J., Hłjhus J., Bojsen-Młller F. Varicocele testis evaluated by CT-Scanning. Scand J Urol Nephrol 1997;31(2):179–82. DOI: 10.3109/00365599709070326
14. Hamdouni W., Bchir S., Abidi M. et al. Right-sided varicocele thrombosis complicating an acute epididymo-orchitis: A case report and review of the literature. Urol Case Rep 2021;39:101710 DOI: 10.1016/j.eucr.2021.101710
Andrology and Genital Surgery. 2023; 24: 157-161
Right-sided scrotal varicocele in a patient with situs inversus totalis: case report
https://doi.org/10.17650/2070-9781-2023-24-1-157-161Abstract
Isolated varicocele on the right is a fairly rare disease, often associated with neoplastic processes affecting the spermatic vein system. According to new data, there is no clear relationship between varicocele on the right and neoplasms. Thus, the etiology isjustifiably related to other conditions. Mirror transposition of internal organsis one of them. Situs inversus totalis (SIT) is a rare autosomal recessive congenital anomaly with an incidence of 1 in 10,000 newborns. The etiology of right varicocele in SIT, given the structure of the right spermatic vein that flows into the renal, with the exclusion of other causes, can be considered similar to left varicocele in normal men, including venous valve insufficiency and venous pressure difference. Indications for surgery and the choice of surgical technique also do not differ. The fact of the rarity of published materials on the treatment of varicocele on the right side against the background of SIT prompted us to share this clinical case.
References
1. Masson P., Brannigan R.E. The Varicocele. Urol Clin North Am 2014;41(1):129–44. DOI: 10.1016/j.ucl.2013.08.001
2. Gleason A., Bishop K., Xi Y., Fetzer D.T. Isolated right-sided varicocele: Is further workup necessary? Am J Roentgenol 2019;212(40):802–7. DOI: 10.2214/AJR.18.20077
3. Itani M., Kipper B., Corwin M.T. et al. Right-sided scrotal varicocele and its association with malignancy: a multi-institutional study. Abdom Radiol 2021;46(5):2140–5. DOI: 10.1007/s00261-020-02840-9
4. Funari M.P., Ribeiro I.B., Hirsch B.S. et al. ERCP maneuvers for situs inversus totalis. Arq Gastroenterol 2021;58(2):264–5. DOI: 10.1590/S0004-2803.202100000-45
5. Chen W., Guo Z., Qian L., Wang L. Comorbidities in situs inversus totalis: A hospital-based study. Birth Defects Res 2020;112(5):418–26. DOI: 10.1002/bdr2.1652
6. Yasim A., Resim S., Sahinkanat T. et al. Clinical and subclinical varicocele incidence in patients with primary varicose veins requiring surgery. Ann Vasc Surg 2013;27(6):758–61. DOI: 10.1016/j.avsg.2012.07.031
7. Esteves S.C., Miyaoka R., Roque M., Agarwal A. Outcome of varicocele repair in men with nonobstructive azoospermia: systematic review and meta-analysis. Asian J Androl 2016;18(2):246–53. DOI: 10.4103/1008-682X.169562
8. Popova A.Yu., Gamidov S.I., Ovchinnikov R.I. i dr. Varikotsele i neobstruktivnaya azoospermiya – s chego nachat'? Andrologiya i genital'naya khirurgiya 2017;18(4):77–80. DOI: 10.17650/2070-9781-2017-18-4-77-80
9. Khera M., Lipshultz L.I. Evolving approach to the varicocele. Urol Clin North Am 2008;35(2):183–9. DOI: 10.1016/j.ucl.2008.02.001
10. Chen S.-S., Chen L.-K. Risk factors for progressive deterioration of semen quality in patients with varicocele. Urology 2012;79(1): 128–32. DOI: 10.1016/j.urology.2011.08.063
11. Donkol R.H., Salem T. Paternity after varicocelectomy: preoperative sonographic parameters of success. J Ultrasound Med 2007;26(5): 593–9. DOI: 10.7863/jum.2007.26.5.593
12. Hussein A.F. The role of color Doppler ultrasound in prediction of the outcome of microsurgical subinguinal varicocelectomy. J Urol 2006:176(5):2141–5. DOI: 10.1016/j.juro.2006.07.009
13. Lund L., Hahn-Pedersen J., Hłjhus J., Bojsen-Młller F. Varicocele testis evaluated by CT-Scanning. Scand J Urol Nephrol 1997;31(2):179–82. DOI: 10.3109/00365599709070326
14. Hamdouni W., Bchir S., Abidi M. et al. Right-sided varicocele thrombosis complicating an acute epididymo-orchitis: A case report and review of the literature. Urol Case Rep 2021;39:101710 DOI: 10.1016/j.eucr.2021.101710
