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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.

DOI:10.1016/j.radcr.2025.04.051
PMID:40486141
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12143768/
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
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1c0/12143768/59e6d4ca01bf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1c0/12143768/59e6d4ca01bf/gr1.jpg

相似文献

1
Diagnostic dilemma of seminal vesicle abscess: A serious case with a nonspecific clinical presentation.精囊脓肿的诊断困境:一例临床表现不典型的严重病例。
Radiol Case Rep. 2025 May 15;20(8):3777-3779. doi: 10.1016/j.radcr.2025.04.051. eCollection 2025 Aug.
2
Unusual presentation of seminal vesicle abscess: a report of two cases.精囊脓肿的不典型表现:两例报告。
Pan Afr Med J. 2023 Jan 6;44:14. doi: 10.11604/pamj.2023.44.14.37883. eCollection 2023.
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本文引用的文献

1
Unusual presentation of seminal vesicle abscess: a report of two cases.精囊脓肿的不典型表现:两例报告。
Pan Afr Med J. 2023 Jan 6;44:14. doi: 10.11604/pamj.2023.44.14.37883. eCollection 2023.
2
Seminal vesicle abscess causing unilateral hydroureteronephrosis: A case report.
Arch Ital Urol Androl. 2017 Dec 31;89(4):321-322. doi: 10.4081/aiua.2017.4.321.
3
Seminal vesicle abscess: report of a new case.精囊脓肿:1例新病例报告
Tunis Med. 2009 Sep;87(9):630-2.
4
Seminal vesicle abscess due to tuberculosis: role of tissue culture in making the diagnosis.
South Med J. 1999 Mar;92(3):328-9. doi: 10.1097/00007611-199903000-00015.
5
Seminal vesicle abscess: diagnosis by transrectal ultrasound.精囊脓肿:经直肠超声诊断
J Clin Ultrasound. 1986 Sep;14(7):546-9. doi: 10.1002/jcu.1870140709.
6
Bilateral seminal vesicle abscesses.双侧精囊脓肿
Eur Urol. 1991;20(2):164-6. doi: 10.1159/000471689.