An unusual groin mass. Seminal vesicle abscess: a case report

Saha, Sunita; Wright, Georgina; Arulampalam, Tan; Corr, John

doi:10.1186/1757-1626-2-6531

Cited by 12 publications

(10 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…SVA can occur in all age groups and is more common unilaterally, and Escherichia coli is the main pathogenic bacteria. The etiology of SVA is unknown, but long-term indwelling catheters, diabetes, prostate puncture biopsy, and endoscopic operation are factors contributing to the susceptibility to this disease[ 6 , 7 ]. SVAs are mostly secondary to urinary tract infections such as prostatitis.…”

Section: Discussionmentioning

confidence: 99%

Acute diffuse peritonitis secondary to a seminal vesicle abscess: A case report

Li¹,

Liu²,

Liu³

et al. 2023

World J Clin Cases

View full text Add to dashboard Cite

BACKGROUND Seminal vesicle abscess (SVA) is the manifestation of a relatively rare urinary system infection. In response to urinary system inflammation, an abscess forms in special locations. However, acute diffuse peritonitis (ADP) induced by SVA is unusual. CASE SUMMARY We report a case of a left SVA in a male patient complicated with pelvic abscess, ADP, multiple organ dysfunction syndrome, infectious shock, bacteremia, and acute appendiceal extraserous suppurative inflammation as a result of a long-term indwelling urinary catheter. The patient received a course of morinidazole + cefminol antibiotics but showed no obvious relief, so the perineal SVA underwent puncture drainage and abdominal abscess drainage + appendectomy was performed. The operations were successful. After the operation, anti-infection, anti-shock, and nutritional support treatments were continued and various laboratory indicators were regularly reviewed. The patient was discharged from the hospital after recovery. This disease is a challenge for the clinician because of the unusual spreading path of the abscess. Moreover, appropriate intervention and adequate drainage of abdominal and pelvic lesions are necessary, especially when the primary focus cannot be determined. CONCLUSION The etiology of ADP varies, but acute peritonitis secondary to SVA is very rare. In this patient, the left SVA not only affected the adjacent prostate and bladder but also spread retrogradely through the vas deferens, forming a pelvic abscess in the loose tissues of the extraperitoneal fascia layer. Inflammation involving the peritoneal layer led to ascites and pus accumulation in the abdominal cavity, and appendix involvement led to extraserous suppurative inflammation. In clinical practice, surgeons need to consider the results of various laboratory tests and imaging examinations to make comprehensive judgments involving the diagnosis and treatment plan.

show abstract

Section: Discussionmentioning

confidence: 99%

Acute diffuse peritonitis secondary to a seminal vesicle abscess: A case report

Li¹,

Liu²,

Liu³

et al. 2023

World J Clin Cases

View full text Add to dashboard Cite

show abstract

“…One case described by Saha et al . had a groin swelling like our own with pus tracking from left seminal vesicle [ 5 ]. But to our knowledge, no documented case exists where SVA presented as a perineal abscess.…”

Section: Discussionmentioning

confidence: 99%

“…Because of their vague clinical manifestations, many cases of SVAs are missed and their diagnosis requires a high index of suspicion [ 4 ]. SVA presenting as a groin swelling or a perineal abscess is rarely reported [ 5 ]. We report two such cases wherein SVAs were presenting as a painful swelling in the left groin in the first case and a perineal abscess in the second case.…”

Section: Introductionmentioning

confidence: 99%

Unusual presentation of seminal vesicle abscess: a report of two cases

Narayanaswamy¹,

Goradia²,

Patwardhan³

2023

Pan Afr Med J

View full text Add to dashboard Cite

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.

show abstract

“…With various options available, TRUS and CT remain to be the most frequently described diagnostic examinations in the recent literature. 17…”

Section: Diagnosismentioning

confidence: 99%

Primary Seminal Vesicle Abscess: A Diagnostic Dilemma— A Review of Current Literature

Rajiwate¹,

Bolbandi²

2019

The Journal of Medical Sciences

View full text Add to dashboard Cite

Seminal vesicles (SV) are accessory sex organs of male genitourinary (GU) tract, which play a crucial role in male fertility. Primary seminal vesicle abscess (SVA) is a rare pathologic entity with no specific symptoms with very few reported cases in literature, posing a great diagnostic difficulty to the clinicians. Common pathologies of seminal vesicle include cyst, congenital abnormalities and seminal vesicle infection, and abscess, secondary to obstruction and infection of the neighboring organs have been frequently addressed. Cross-sectional imaging advancement has expanded not only our knowledge of GU tract abnormalities but also our treatment approaches. Seminal vesicle abscess is a rare pathological condition and diagnosis is based on clinical and radiological findings. Conservative treatment could be effective in selected cases. In cases refractory to conservative management, surgical decompression can be an option. Transrectal ultrasonography-guided mini-invasive drainage modalities can be proposed successfully.

show abstract

An unusual groin mass. Seminal vesicle abscess: a case report

Abstract: The rare pathology of seminal vesicle abscess is usually diagnosed with computerised tomography scan and confirmed with transrectal ultrasound. We report a recently encountered case where diagnosis proved difficult owing to the non-specific clinical presentation.

Cited by 12 publications

References 8 publications

Acute diffuse peritonitis secondary to a seminal vesicle abscess: A case report

Acute diffuse peritonitis secondary to a seminal vesicle abscess: A case report

Unusual presentation of seminal vesicle abscess: a report of two cases

Primary Seminal Vesicle Abscess: A Diagnostic Dilemma— A Review of Current Literature

Contact Info

Product

Resources

About

An unusual groin mass. Seminal vesicle abscess: a case report

Abstract: The rare pathology of seminal vesicle abscess is usually diagnosed with computerised tomography scan and confirmed with transrectal ultrasound. We report a recently encountered case where diagnosis proved difficult owing to the non-specific clinical presentation.

Cited by 12 publications

References 8 publications

Acute diffuse peritonitis secondary to a seminal vesicle abscess: A case report

Acute diffuse peritonitis secondary to a seminal vesicle abscess: A case report

Unusual presentation of seminal vesicle abscess: a report of two cases

Primary Seminal Vesicle Abscess: A Diagnostic Dilemma&mdash; A Review of Current Literature

Contact Info

Product

Resources

About

Primary Seminal Vesicle Abscess: A Diagnostic Dilemma— A Review of Current Literature