Ates Yuksel, Kilciler Guldem, Bedir Selahattin, Aslan Murat, Kilciler Mete, Tuzun Ahmet, Yagci Gokhan, Bagci Sait
Department of Gastroenterology, Gulhane Military Medical Academy School of Medicine, Ankara, Turkey.
Kaohsiung J Med Sci. 2007 Jun;23(6):318-20. doi: 10.1016/S1607-551X(09)70416-4.
We report a 35-year-old male patient with chronic constipation and infertility for 4 years. Spermiogram revealed severe oligospermia. An external mass compressing the rectum was found during rectal examination and flexible rectosigmoidoscopy. Abdominal computed tomography showed a presacral cystic mass which displaced the bladder anteriorly. The cyst was completely removed with open surgery. Histopathologic analysis revealed a cystic lesion covered with squamous epithelium including polymorphonuclear leukocytes, macrophages and sperm cells. After the operation, the patient's symptoms were relieved. We considered that the constipation was caused by external compression by the vesicula seminalis cyst. In cases of constipation with infertility, vesicula seminalis cyst should be kept in mind.
我们报告一名35岁男性患者，有4年慢性便秘和不育病史。精液分析显示严重少精子症。直肠检查和乙状结肠镜检查发现直肠外有一肿物压迫直肠。腹部计算机断层扫描显示骶前有一囊性肿物，将膀胱向前推移。通过开放手术将囊肿完全切除。组织病理学分析显示囊肿病变表面覆盖鳞状上皮，内有中性粒细胞、巨噬细胞和精子细胞。术后患者症状缓解。我们认为便秘是由精囊囊肿的外部压迫所致。对于伴有不育的便秘患者，应考虑精囊囊肿。
