Testicular Vein Retroperitoneal In Abdomen, Visible On CT Venography. Is It Safe To Have Venography With Moderate Pulmonary Sarcoidosis?
Hi,
Thanks for your query. The following are my answers to your query.
1. To visualized testicular veins clearly one needs to do 'Testicular Phlebography' in Digital Subtraction Angiograpy (DSA) Cathlab to rule out abnormal veins or Inferior Venacava (IVC) Gram to locate testicular / Gonadal veins drainage if any. Abdominal ultrasound will not be sufficient to locate/visualize testicular vessels clearly.
Usually left testicular vein drains into left renal vein but not true for right testicular vein. We can only know this by a phlebography.
2&3&4. 64 & 128 slice Computed tomography (CT) scans & even 3 Tesla Magnetic Resonance Imaging (MRI) scan will not depict correct anatomy and venous drainage. Scanners have their own limitations but DSA study is crystal clear.
5. If renal function tests like serum creatinine are below 1.5mg/dl and blood urea nitrogen (BUN) and serum uric acid levels are within normal range then we can inject "non- ionic" contrast media like Inj.Ultravist-300/370 or Inj.Visipaqe & do Phlebography. The same applies to CT contrast scans too.
6. I am sorry; I do not have any images to share with you. Besides as I mentioned earlier, testicular vessels are best studied on phlebography. Alternatively one can go for 'Testicular & branch veins Embolisation' with Glue or Coils if abnormality like 'Gross Varicocele', malformations or AVM found and Patient has clinical symptoms of dragging testicular pains, heaviness, low sperm count, male sterility etc.
Hope this answers your query. Let me know if you need any more information.
Best wishes