Acute diffuse peritonitis secondary to a seminal vesicle abscess: A case report

Area of Science:

• Urology
• Infectious Diseases
• Surgical Pathology

Background:

• Seminal vesicle abscess (SVA) is a rare urinary tract infection.
• Acute diffuse peritonitis (ADP) secondary to SVA is highly unusual.
• Long-term urinary catheterization can predispose to complex infections.

Observation:

• A male patient developed a left SVA with pelvic abscess, ADP, and appendicitis.
• Initial antibiotic treatment was ineffective.
• The abscess spread retrogradely through the vas deferens, involving the peritoneum and appendix.

Findings:

• SVA can lead to severe complications including pelvic abscess, ADP, and extraserous appendiceal inflammation.
• Surgical intervention involving drainage and appendectomy was crucial for recovery.
• Diagnosis requires careful consideration of laboratory and imaging findings.

Implications:

• This case underscores the importance of considering SVA in unexplained abdominal sepsis.
• Prompt and adequate surgical drainage is vital for managing complex SVA with peritonitis.
• Understanding unusual abscess pathways is critical for effective clinical management.