Department of Urology, King Edward Memorial Hospital, Mumbai, India.
Pan Afr Med J. 2023 Jan 6;44:14. doi: 10.11604/pamj.2023.44.14.37883. eCollection 2023.
Seminal vesicle abscesses (SVA) are a rare condition, and their diagnosis is challenging with non-specific clinical presentation. Only a few cases of SVA have been published. Here we report two cases of SVA. The first one is a 58-year-old male with HIV and diabetes who presented with painful swelling in the left groin for 15 days. The second patient was a 65-year-old man who presented with painful swelling in the perineum for 15 days. Both patients were radiologically (computed tomography scan) diagnosed to have SVA. The first one was treated via surgical drainage for groin abscess and SVA was treated conservatively with intravenous broad-spectrum antibiotics. The latter was treated with SVA transurethral drainage. The pus culture showed Escherichia coli. Postoperative antibiotic therapies were contented without complications. In conclusion, although SVA may be clinically unsuspected, cross-sectional radiologic imaging findings should not be underestimated in order to promptly initiate treatment.
精囊脓肿（SVA）是一种罕见的疾病，其非特异性临床表现使其诊断具有挑战性。仅有少数 SVA 病例被报道。在此，我们报告两例 SVA 患者。第一例为 58 岁男性，HIV 阳性合并糖尿病，以左侧腹股沟疼痛性肿胀 15 天就诊。第二例为 65 岁男性，以会阴部疼痛性肿胀 15 天就诊。两位患者均经影像学（计算机断层扫描）诊断为 SVA。第一例因腹股沟脓肿行手术引流，SVA 行保守治疗，给予静脉广谱抗生素。第二例采用经尿道 SVA 引流术。脓液培养显示大肠埃希菌。术后抗生素治疗效果满意，无并发症发生。总之，虽然 SVA 可能在临床上被忽视，但为了及时开始治疗，不应低估横断面影像学检查结果。
