Rabii R, Aboutaieb R, Joual A, el Mrini M, Benjelloun S
Service d'Urologie, CHU Ibn Rochd, Casablanca, Maroc.
Ann Urol (Paris). 1997;31(2):97-100.
We report a case of a 24-year-old male patient with cystic dilatation of the seminal vesicle associated with renal agenesis and megaureter. This patient complained of left renal colic with pollakiuria. We performed intravenous urography and ultrasound showed a cyst in the seminal vesicle associated with left megaureter and right renal agenesis. Treatment consisted of resection of the cyst and reimplantation of the left ureter into the bladder. No postoperative complications were observed. This association is rare and can be explained by the common embryological origin of the seminal vesicle and kidney and ureter. Its diagnosis is now facilitated by ultrasound and CT. The treatment of this tumor is surgical only when the lesions are responsible for clinical symptoms.
我们报告一例24岁男性患者，其精囊呈囊性扩张，并伴有肾缺如和巨输尿管。该患者主诉左侧肾绞痛伴尿频。我们进行了静脉肾盂造影，超声检查显示精囊有一个囊肿，伴有左侧巨输尿管和右侧肾缺如。治疗方法包括囊肿切除及左侧输尿管膀胱再植术。未观察到术后并发症。这种关联很罕见，可通过精囊与肾脏及输尿管共同的胚胎学起源来解释。目前超声和CT有助于其诊断。仅当病变导致临床症状时，才对该肿瘤进行手术治疗。
