Agarwal Arjit, Pushkarna Arawat, Sharma Shourya, Rastogi Rajul
Department of Radiodiagnosis, Teerthanker Mahaveer Medical College and Research Centre, Teerthanker Mahaveer University, Moradabad, India.
Department of Urosurgery, Teerthanker Mahaveer Medical College and Research Centre, Teerthanker Mahaveer University, Moradabad, India.
Turk J Urol. 2019 Dec;45(Supp. 1):S156-S161. doi: 10.5152/tud.2018.28999. Epub 2018 Aug 28.
Congenital agenesis of seminal vesicles and vas deferens is rare and its co-existence with structural abnormality on the contralateral side is even rarer. We report a case of an adult male presenting with infertility due to obstructive azoospermia, in which transrectal ultrasonography (TRUS) and magnetic resonance imaging (MRI) revealed the agenesis of Wolffian derivatives on the left side with stenosis of the ejaculatory duct on the contralateral side. This dual combination of uncommon anomalies is the rarest phenomenon and poses as a diagnostic dilemma for the radiologist. Emphasis is given to MRI as a one-stop shop modality in the evaluation of complete genitourinary system; as well as on the importance of TRUS as a screening tool in patients with infertility due to obstructive azoospermia.
先天性精囊和输精管缺如罕见，其与对侧结构异常并存则更为罕见。我们报告一例成年男性因梗阻性无精子症导致不育的病例，经直肠超声检查（TRUS）和磁共振成像（MRI）显示左侧中肾旁管衍生物缺如，对侧射精管狭窄。这种罕见异常的双重组合是极为罕见的现象，给放射科医生带来诊断难题。强调MRI作为评估整个泌尿生殖系统的一站式检查方式的重要性；以及TRUS作为梗阻性无精子症所致不育患者筛查工具的重要性。
