{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:20:37Z","timestamp":1760059237447,"version":"build-2065373602"},"reference-count":12,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T00:00:00Z","timestamp":1748908800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reports"],"abstract":"<jats:p>Background and Clinical Significance: This case presents a rare variation in mesenteric and pelvic vasculature that holds relevance for endovascular procedures. Limited published cases of the testicular artery arising off the inferior mesenteric artery exist in the literature and play an important role in clinical outcomes. Case Presentation: An 89-year-old male presented with gastrointestinal bleeding from diverticulosis. During an arteriogram to locate and assess sigmoid arteries for embolization, an unusual anatomical variant of the left testicular artery was discovered. Typically, the left testicular artery originates from the abdominal aorta below the renal arteries. However, in this patient, the left testicular artery was found to directly branch off the inferior mesenteric artery, while the superior rectal artery was absent from the inferior mesenteric artery. Conclusions: Awareness of such vascular variations is essential for interventionalists to optimize procedural success and minimize complications. Recognizing potential vascular anomalies, such as those presented in this case, is essential for effective pre-procedural planning and intraoperative management to improve patient outcomes.<\/jats:p>","DOI":"10.3390\/reports8020086","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T06:21:51Z","timestamp":1748931711000},"page":"86","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Aberrant Left Testicular Artery Originating from the Inferior Mesenteric Artery Identified on Angiography in a Patient with Gastrointestinal Bleeding: Case Report"],"prefix":"10.3390","volume":"8","author":[{"given":"Sarah M.","family":"Taheri","sequence":"first","affiliation":[{"name":"School of Medicine, University of Louisville, Louisville, KY 40204, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Connor S.","family":"Centner","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Louisville, Louisville, KY 40204, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahim H.","family":"Shalash","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Louisville, Louisville, KY 40204, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Touqeer","family":"Sulehria","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, Department of Radiology, University of Louisville Hospital, Louisville, KY 40204, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nana","family":"Ohene Baah","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, Department of Radiology, University of Louisville Hospital, Louisville, KY 40204, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,6,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1002\/ca.23204","article-title":"Variations of the testicular artery and vein: A meta-analysis with proposed classification","volume":"31","author":"Nallikuzhy","year":"2018","journal-title":"Clin. Anat."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Niklas, N., Malec, M., Gutowski, P., Kazimierczak, A., and Rynio, P. (2022). Effectiveness of Inferior Mesenteric Artery Embolization on Type II Endoleak-Related Complications after Endovascular Aortic Repair (EVAR): Systematic Review and Meta-Analysis. J. Clin. Med., 11.","DOI":"10.3390\/jcm11185491"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"102342","DOI":"10.1016\/j.eucr.2023.102342","article-title":"Acute testicular infarction in the setting of SARS-CoV-2 infection and diabetic vasculopathy","volume":"47","author":"Zhang","year":"2023","journal-title":"Urol. Case Rep."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"109885","DOI":"10.1016\/j.ejrad.2021.109885","article-title":"Anatomy of testicular artery: A proposal for a classification with MDCT angiography","volume":"142","author":"Balci","year":"2021","journal-title":"Eur. J. Radiol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/S0940-9602(02)80126-1","article-title":"The origin of gonadal arteries in human fetuses: Anatomical variations","volume":"184","author":"Salbacak","year":"2002","journal-title":"Ann. Anat. Anat. Anz."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"541","DOI":"10.5603\/FM.a2017.0035","article-title":"Anatomical variations of testicular artery: A review","volume":"76","author":"Kayalvizhi","year":"2017","journal-title":"Folia Morphol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2710","DOI":"10.1016\/j.radcr.2021.06.059","article-title":"Testicular artery originating from the inferior mesenteric artery: An alert for interventionalists\u2014A case report","volume":"16","author":"Messana","year":"2021","journal-title":"Radiol. Case Rep."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1007\/s00276-007-0298-x","article-title":"A rare case of inferior mesenteric artery arising from the superior mesenteric artery, with a review of the review of the literature","volume":"30","author":"Yi","year":"2008","journal-title":"Surg. Radiol. Anat."},{"key":"ref_9","first-page":"1","article-title":"Assessing anatomical variations of the inferior mesenteric artery via three-dimensional CT angiography and laparoscopic colorectal surgery: A retrospective observational study","volume":"14","author":"Ding","year":"2024","journal-title":"Sci. Rep."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1590\/1677-5449.007516","article-title":"A cadaveric study of the testicular artery and its clinical significance","volume":"15","author":"Kotian","year":"2016","journal-title":"J. Vasc. Bras."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1186\/s43055-022-00797-x","article-title":"Anatomical variants in prostatic artery embolization in treatment of benign prostatic hyperplasia","volume":"53","author":"Basiouny","year":"2022","journal-title":"Egypt. J. Radiol. Nucl. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"E27","DOI":"10.1148\/rg.210093","article-title":"Review of Abdominal Vascular Variations: Imaging and Clinical Implications","volume":"42","author":"Sharbidre","year":"2022","journal-title":"RadioGraphics"}],"container-title":["Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2571-841X\/8\/2\/86\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:46:24Z","timestamp":1760031984000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2571-841X\/8\/2\/86"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,3]]},"references-count":12,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,6]]}},"alternative-id":["reports8020086"],"URL":"https:\/\/doi.org\/10.3390\/reports8020086","relation":{},"ISSN":["2571-841X"],"issn-type":[{"type":"electronic","value":"2571-841X"}],"subject":[],"published":{"date-parts":[[2025,6,3]]}}}