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非常罕见的先天性畸形：单侧精囊，伴单侧肾缺如：首例病例报告

Very rare congenital malformation: single seminal vesicle, associated with unilateral kidney agenesis: first case report.

作者信息

Mischianu Dan, Ilie Cristian Petre, Pacu Ovidiu, Rusu Florin

机构信息

Urology Department, Central Military Emergency University Hospital Dr. Carol Davila, M. Vulcanescu 88, Bucharest, Romania.

出版信息

J Med Life. 2008 Apr-Jun;1(2):228-32.

PMID:20108470
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5654081/
Abstract

INTRODUCTION

The authors present the first case of a patient with single cystic seminal vesicle accompanied by left kidney agenesis, referring for diagnosis and treatment.

MATERIAL AND METHODS

This is the case of a 22-year-old patient presented for chronic pelvic pain.

INVESTIGATIONS

abdominal and transrectal ultrasound as well as the computer tomography showed a cystic pelvic tumor with a diameter of around 8.5/6 cm, and left kidney agenesis. The treatment for this condition varies from watchful waiting for asymptomatic cysts, to excision. We performed a plasty of the unique seminal vesicle.

RESULTS

The postoperative evolution was uneventful with pain remission and improvement of ejaculatory function.

CONCLUSIONS

Single seminal vesicle has a very low incidence. For this pathology, partial vesiculectomy represents a viable therapeutic option in order to preserve sexual function in the case of a young patient.

摘要

引言

作者报告首例单发性精囊囊肿伴左肾缺如患者，前来就诊以明确诊断并接受治疗。

材料与方法

该病例为一名22岁因慢性盆腔疼痛前来就诊的患者。

检查

腹部及经直肠超声检查以及计算机断层扫描显示盆腔有一个直径约8.5/6厘米的囊性肿瘤，同时伴有左肾缺如。针对这种情况的治疗方法多样，从对无症状囊肿的密切观察等待，到囊肿切除。我们对唯一的精囊进行了整形手术。

结果

术后恢复顺利，疼痛缓解，射精功能改善。

结论

单发性精囊发病率极低。对于这种病症，部分精囊切除术是一种可行的治疗选择，以便在年轻患者中保留性功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84bf/5654081/7a1bf442a87a/JMedLife-1-228-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84bf/5654081/04dc48f280a3/JMedLife-1-228-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84bf/5654081/a0399b606464/JMedLife-1-228-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84bf/5654081/a860a4e26c16/JMedLife-1-228-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84bf/5654081/d24019823b96/JMedLife-1-228-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84bf/5654081/7a1bf442a87a/JMedLife-1-228-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84bf/5654081/04dc48f280a3/JMedLife-1-228-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84bf/5654081/a0399b606464/JMedLife-1-228-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84bf/5654081/a860a4e26c16/JMedLife-1-228-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84bf/5654081/d24019823b96/JMedLife-1-228-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84bf/5654081/7a1bf442a87a/JMedLife-1-228-g005.jpg

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Very rare congenital malformation: single seminal vesicle, associated with unilateral kidney agenesis: first case report.非常罕见的先天性畸形：单侧精囊，伴单侧肾缺如：首例病例报告
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1
Laparoscopic excision of seminal vesicle cyst revealed by obstruction urinary symptoms.因梗阻性排尿症状而行腹腔镜下精囊囊肿切除术。
Int J Urol. 2006 Mar;13(3):311-4. doi: 10.1111/j.1442-2042.2006.01294.x.
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Laparoscopic excision of a seminal vesicle cyst in a child.小儿精囊囊肿的腹腔镜切除术
J Urol. 2004 Jan;171(1):369-71. doi: 10.1097/01.ju.0000102300.07368.5c.
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Ejaculatory duct obstruction.射精管梗阻
Curr Opin Urol. 2002 Nov;12(6):509-15. doi: 10.1097/00042307-200211000-00012.
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Diagnosis and management of seminal vesicle cysts associated with ipsilateral renal agenesis: a pooled analysis of 52 cases.与同侧肾缺如相关的精囊囊肿的诊断与管理：52例病例的汇总分析
Eur Urol. 1998;33(5):433-40. doi: 10.1159/000019632.
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Cystic dilatations within the pelvis in patients with ipsilateral renal agenesis or dysplasia.同侧肾缺如或发育异常患者盆腔内的囊性扩张。
J Urol. 1990 Aug;144(2 Pt 1):324-7. doi: 10.1016/s0022-5347(17)39444-2.