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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.

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/5654081/04dc48f280a3/JMedLife-1-228-g001.jpg

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