Soler Fernández J M, Domínguez Bravo C, Cabello Padial J, Murillo Mirat J, Torrubia Romero J F
Servicio de Urología, Hospital Infanta Cristina, Bajadoz.
Actas Urol Esp. 1992 Nov-Dec;16(10):800-4.
Presentation of a new case of cyst of the seminal vesicle in one patient with ipsilateral renal agenesis, stressing the frequency of this association. The cyst become evident following confirmation of renal agenesis, and presented an unusual communication to the bladder due to previous surgery (transurethral resection). This diagnosis was only suspected in the computerized tomography and cystoscopy and later confirmed by deferentovesiculography. The relevance of exploring any possible dysplasia of the seminal tract in the presence of renal agenesis is stressed. From an embryological point of view, the close relationship during development of both urinary and reproductive systems appear to explain the coexistence of these two anomalies. The primary symptoms of the condition, including the unspecific ones, as in the present cases, are discussed. Differential diagnosis from other deep pelvic cysts is referred. Following a literature review and based in our personal experience, already published, our views on the different embryological, clinical, diagnostic and therapeutic considerations are established.
介绍一例患有同侧肾缺如的精囊囊肿新病例，强调这种关联的发生率。该囊肿在肾缺如得到确认后变得明显，并因先前的手术（经尿道切除术）而与膀胱形成了异常连通。此诊断仅在计算机断层扫描和膀胱镜检查中被怀疑，后来通过输精管精囊造影得以证实。强调了在存在肾缺如的情况下探索精道任何可能发育异常的重要性。从胚胎学角度来看，泌尿和生殖系统在发育过程中的密切关系似乎可以解释这两种异常的共存。讨论了该病症的主要症状，包括像本病例中不具特异性的症状。提及了与其他盆腔深部囊肿的鉴别诊断。在文献综述并基于我们已发表的个人经验之后，确立了我们对不同胚胎学、临床、诊断和治疗考量的观点。
