Right Testicular Vein Syndrome Revealed by Obstructive Pyelonephritis in a Young Man: About a Case and Review of the Literature

Testicular vein syndrome is a rare cause of ureteral compression, which can lead to chronic and complicated obstruction of the urinary tract. We report the case of a 19-year-old patient with recurrent right obstructive pyelonephritis, revealing extrinsic ureteral compression by the right gonadal veins. A resection + end-to-end anastomosis had been indicated for right iliac ureteral stenosis, but the intraoperative discovery of a right testicular vein syndrome led us to perform a section-ligation of the compressive veins, allowing the obstruction to be removed and a good postoperative outcome. In this case, we discuss the clinical, radiological and therapeutic aspects of this rare entity in men.