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Seminal vesicle cyst presenting as rectal obstruction.
Fatih Altunrende1, Edward D Kim, Frederick A Klein
1Department of Urology, Haseki Education and Research Hospital, Istanbul, Turkey.
Urology
|March 19, 2004
Summary
A rare cystic pelvic mass originating from the seminal vesicle caused urinary and bowel difficulties in a 45-year-old male. Surgical removal resolved the symptoms, highlighting this unusual presentation.
Area of Science:
- Urology
- Surgical Oncology
- Radiology
Background:
- Pelvic masses can present with diverse symptoms, including voiding and bowel dysfunction.
- Seminal vesicle pathologies are uncommon, with cystic lesions being particularly rare.
Observation:
- A 45-year-old male presented with symptoms of difficult urination and defecation.
- Imaging revealed a large cystic pelvic mass (14 x 10 x 15 cm) displacing pelvic organs.
Findings:
- Magnetic resonance imaging suggested the mass originated from the right seminal vesicle.
- Surgical exploration identified and successfully removed a large cystic lesion in the posterior retroperitoneum.
Implications:
- This case highlights the importance of considering seminal vesicle origin for unusual pelvic masses.
- Surgical intervention can effectively treat symptomatic seminal vesicle cysts, leading to symptom resolution.