Fig. 4

a, b trans-abdominal ultrasound and color Doppler images, c, d left renal and left gonadal venogram. a Showing left gonadal vein dilatation (diameter = 7 mm between the calibers in a) seen anterior to the psoas muscle (red circle) in (a) and to the left of the infrarenal abdominal aorta (ao). Left gonadal vein reflux (coded in red) (open green arrow) in (b) was taking the same red color of the adjacent infra-renal abdominal aorta (Ao) c and d left renal (LRV) (white open vertical arrow) in (c) and left gonadal vein (LGV) (white horizontal arrow) in (a) angiogram showing dilated refluxing left gonadal vein (open horizontal black arrow) in (d) down to the left parametrial and myometrial varices (black asterisk) in (d)