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[Seminal vesicle cyst with ipsilateral renal agenesis: a case report]
Hinyokika Kiyo. Acta Urologica Japonica
|May 2, 2001
Summary
A congenital cystic lesion in a young man, associated with a missing left kidney and ejaculatory duct obstruction, was successfully treated with percutaneous drainage. This intervention resolved symptoms and imaging abnormalities, highlighting a minimally invasive approach for such rare pelvic conditions.
Area of Science:
- Urology
- Radiology
- Congenital Abnormalities
Background:
- Congenital pelvic cystic lesions are rare and can present with varied symptoms.
- This case involves a young male with an incidentally discovered pelvic cyst and associated genitourinary anomalies.
Observation:
- The patient presented with gross hematuria and was found to have a pelvic cystic structure, absent left kidney, and ejaculatory duct obstruction.
- Imaging studies including CT, TRUS, cystoscopy, and vasovesiculography revealed a dilated seminal vesicle and a mass impinging on the bladder.
Findings:
- Percutaneous drainage of the cystic lesion was performed due to complications including epididymitis.
- Post-drainage, the patient experienced complete symptom resolution and normalization of seminal vesicle appearance on follow-up TRUS.
Implications:
- Percutaneous drainage is an effective minimally invasive treatment for symptomatic congenital seminal vesicle cysts.
- This case underscores the importance of comprehensive imaging and diagnostic workup for complex pelvic cystic lesions.