Ureteral ectopia presenting as epididymitis and infertility

Area of Science:

• Urology
• Reproductive Medicine
• Medical Imaging

Background:

• Infertility and recurrent epididymitis can indicate underlying congenital abnormalities.
• Pelvic masses require thorough diagnostic evaluation to determine their origin and impact.

Observation:

• A 32-year-old male presented with infertility, recurrent epididymitis, and a palpable pelvic mass.
• Imaging revealed a nonvisualized right kidney and a multiloculated cystic pelvic lesion, with IVP suggesting a ureterocele.

Findings:

• Surgical exploration identified a dysplastic right kidney.
• An ectopic ureter was found inserting into a cystic seminal vesicle, explaining the pelvic mass.

Implications:

• This case highlights a rare congenital anomaly associating renal dysplasia, ureteral ectopia, and seminal vesicle cysts.
• Understanding such anomalies is crucial for accurate diagnosis and management of male infertility and pelvic pathology.