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精囊脓肿的诊断困境:一例临床表现不典型的严重病例。

Diagnostic dilemma of seminal vesicle abscess: A serious case with a nonspecific clinical presentation.

作者信息

Benramdane Hicham, Haddar Karim, Ziani Hamid, Nasri Siham, Kamaoui Imane, Skiker Imane

机构信息

Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco.

Department of Radiology, Mohammed VI University Hospital Mohammed I University, Oujda, Morocco.

出版信息

Radiol Case Rep. 2025 May 15;20(8):3777-3779. doi: 10.1016/j.radcr.2025.04.051. eCollection 2025 Aug.

Abstract

Seminal vesicle abscesses are a rare condition, and their diagnosis is challenging with nonspecific clinical presentation. Diagnosis is based on medical imaging (ultrasound, CT scan) and laboratory tests. Treatment involves broad-spectrum antibiotics and abscess drainage. We report the case of a 60-year-old diabetic male who presented with a 15-day history of painful perineal swelling. Imaging studies revealed a seminal vesicle abscess, which was treated with intravenous broad-spectrum antibiotics and surgical drainage. Culture of the pus revealed . The patient demonstrated a favorable clinical course.

摘要

精囊脓肿是一种罕见病症,其临床表现不具特异性,诊断颇具挑战性。诊断基于医学影像检查(超声、CT扫描)和实验室检查。治疗包括使用广谱抗生素及脓肿引流。我们报告一例60岁糖尿病男性患者,其出现会阴部疼痛性肿胀15天。影像学检查显示为精囊脓肿,采用静脉注射广谱抗生素及手术引流进行治疗。脓液培养结果显示……患者临床病程良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1c0/12143768/59e6d4ca01bf/gr1.jpg

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