Simforoosh Nasser, Rabani Seyedhossein, Dadpour Mehdi, Torabi Ala
Urology and Nephrology Research Center (UNRC), Shahid Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran.
Urology and Nephrology Research Center (UNRC), Shahid Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran.
Int J Surg Case Rep. 2024 Nov;124:110350. doi: 10.1016/j.ijscr.2024.110350. Epub 2024 Sep 25.
Hydatid disease (HD) rarely affects the genitourinary system, comprising only 2-4 % of all hydatid infections. While kidney involvement is more common, seminal vesicle HD is rarely reported.
We describe a 39-year-old man with an incidentally found large pelvic hydatid cyst arising from the seminal vesicle. Despite adhesion to adjacent organs, we successfully drained the cyst content through a small hole of the cyst wall in a sterile setting. The patient remained symptom-free, maintained potency and urinary continence and the lesion decreased in size, significantly after six-month follow-up.
Surgical excision remains the preferred treatment for seminal vesicle hydatid disease (HD). During surgery, extreme caution must be exercised to prevent cyst rupture or irritation of adjacent organs. While complete excision is ideal, in cases where the cyst adheres to adjacent organs, partial cystectomy or cyst drainage should be considered.
Cyst drainage proves effective, especially in cases of adjacent organ invasion.
包虫病（HD）很少累及泌尿生殖系统，仅占所有包虫感染的2%-4%。虽然肾脏受累更为常见，但精囊包虫病鲜有报道。
我们描述了一名39岁男性，偶然发现一个源于精囊的巨大盆腔包虫囊肿。尽管囊肿与相邻器官粘连，但我们在无菌环境下通过囊肿壁上的一个小孔成功引流了囊内容物。患者无症状，性功能和尿失禁得以维持，六个月随访后病变大小显著减小。
手术切除仍然是精囊包虫病（HD）的首选治疗方法。手术过程中，必须极其小心以防止囊肿破裂或刺激相邻器官。虽然完全切除是理想的，但在囊肿与相邻器官粘连的情况下，应考虑部分囊肿切除术或囊肿引流术。
囊肿引流证明是有效的，特别是在伴有相邻器官侵犯的病例中。
