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Related Experiment Videos

Ureteral ectopia presenting as epididymitis and infertility.

J F Squadrito, M D Rifkin, S G Mulholland

    Urology
    |July 1, 1987
    PubMed
    Summary

    A man with infertility and recurrent epididymitis had a pelvic mass. Surgery revealed a dysplastic right kidney with an ectopic ureter inserting into a cystic seminal vesicle.

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    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.

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