The testicular arteries (AT) are long-paired blood vessels that typically arise from the abdominal aorta, below the beginning of the renal arteries, and above the inferior mesenteric artery. Variations of AT are relatively common. They can be classified based on different principles, such as the site of origin, their number, and their course. The overall incidence of AT originating from a site other than the abdominal aorta is about 4%. In such cases, its onset is usually related to the renal arteries. The presented clinical case involves an atypical origin of the left testicular artery, beginning with an accessory, aberrant a.renalis. The high incidence of variations regarding the renal vessels and their potential combination with abnormal testicular arteries require a thorough analysis of their anatomical features before interventions in the area.
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