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- Title
Accessory right spermatic ganglion: possible embryological basis and clinical significance.
- Authors
Nair, Shiva M.; Power, Nicholas E.; Beveridge, Tyler S.
- Abstract
The spermatic ganglia are collections of sympathetic neuron cell bodies located within the cords of the infrarenal aortic plexus, positioned at the origin of the testicular arteries in males. During routine dissection of the aortic plexus at our institution, one specimen exhibited a second (accessory) testicular artery on the right side that coursed retrocaval. Histology was used to confirm the presence of an accessory right spermatic ganglion at the base of the accessory retrocaval testicular artery. Interestingly, the accessory spermatic ganglion was also supplied by its own right lumbar splanchnic nerve. This is the first case to describe the anatomy of an accessory spermatic ganglion in a specimen that exhibits an accessory testicular artery on the right side. This neurovascular variation is of interest to surgeons who aim to perform nerve-sparing retroperitoneal lymph node dissections for malignancy.
- Subjects
GANGLIA; LYMPHADENECTOMY; SPLANCHNIC nerves; AORTIC dissection
- Publication
Surgical & Radiologic Anatomy, 2019, Vol 41, Issue 8, p973
- ISSN
0930-1038
- Publication type
Article
- DOI
10.1007/s00276-019-02180-4