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Ectopic Prostatic Tissue May Cause Hydroureteronephrosis.
Anna Olga Di Vincenzo1, Caterina Gaudiano1, Simone Pucci1
1Department of Diagnostic and Preventive Medicine, University of Bologna, Sant'Orsola-Malpighi Hospital, Bologna, Italy.
Urology
|May 31, 2016
Summary
A man experienced flank pain due to ectopic prostatic tissue near the bladder. Imaging and biopsy confirmed the benign condition, ruling out malignancy.
Area of Science:
- Urology
- Pathology
- Radiology
Background:
- Ectopic prostatic tissue, while rare, can present with urinary symptoms.
- Diagnostic imaging plays a crucial role in differentiating ectopic tissue from other pelvic masses.
Observation:
- A 60-year-old male presented with left flank pain, fever, and nausea.
- Abdominal ultrasound revealed left hydroureteronephrosis; CT urography and MRI identified a paravesical mass near the ureterovesical junction.
- The mass exhibited characteristic imaging features, including T2 hyperintensity and T1 hypointensity.
Findings:
- Histologic analysis of a biopsy confirmed the presence of ectopic prostatic tissue.
- No evidence of malignancy was detected in the examined tissue.
Implications:
- This case highlights the importance of considering ectopic prostatic tissue in the differential diagnosis of pelvic masses causing urinary obstruction.
- Accurate diagnosis through imaging and biopsy prevents unnecessary aggressive treatment for benign conditions.
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