Yang Han, Wang Yinlei, Gao Jie, Wang Ping, Jiang Xingkang, Tian Dawei, Hu Hailong
Department of Urology, The Second Hospital of Tianjin Medical University, Tianjin 300211, P.R. China.
Exp Ther Med. 2019 Dec;18(6):4799-4803. doi: 10.3892/etm.2019.8160. Epub 2019 Nov 1.
A 67-year-old male patient had a history of repeated urinary tract infections for numerous years. X-ray examination revealed a large calcific density in the pelvic cavity, with a diameter of 10.4 cm and a CT value of ~792.9 HU. On MRI of the pelvis, the lesion displayed with extremely low signals. The inside of the stone had a concentric ring shape with a slightly higher signal and the patient was diagnosed with a large left seminal vesicle calculus. Laparoscopic surgery was selected to treat the stone. The patient recovered rapidly and the symptoms, including urgency, urinary frequency, as well as lower abdominal and perineal pain, were obviously improved. The present case study reports on the largest seminal vesicle calculus reported in the current English literature in addition to a brief literature review. Cases of seminal vesicle calculi (SVC) are rare. The present study reports on a case of SVC, which is the largest reported in current English literature, to the best of our knowledge.
一名67岁男性患者有多年反复尿路感染病史。X线检查显示盆腔内有一巨大钙化灶，直径10.4 cm，CT值约为792.9 HU。盆腔MRI检查显示该病变呈极低信号。结石内部呈同心圆状，信号略高，患者被诊断为左侧巨大精囊结石。选择腹腔镜手术治疗结石。患者恢复迅速，尿急、尿频以及下腹和会阴疼痛等症状明显改善。本病例研究除了进行简要的文献综述外，还报告了当前英文文献中报道的最大的精囊结石。精囊结石病例罕见。据我们所知，本研究报告了一例精囊结石，是当前英文文献中报道的最大的病例。
