Seminal Vesicle-Rectal Fistula with Preceding Right Acute Epididymitis

Abstract

A case of seminal vesicle-rectal fistula is reported. A 74-year-old Japanese man was admitted to our hospital due to repeated right scrotal swelling and high fever with pneumaturia. A diagnosis of the right acute epididymitis was made. Bilateral vesiculography showed contrast medium leakage to the rectum, and colonoscopy revealed ostium of the fistula in the anterior wall of the rectum. Symptoms were improved by extirpation of the right scrotal contents.

Coloseminal vesicle fistula after low anterior resection: Report of a case and review of the literature

“…Fistulas between the colon and the seminal vesicles are rarely seen in patients. From a Medline search from 1966 to date, a total of twenty-one cases have been reported [ [1] , [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] ]. The etiologies of this type of fistula vary among Crohn’s disease [ 1 , 2 , 5 ], acute diverticulitis [ 9 , 11 , 12 ], operative complications of prostate [ 6 , 7 ], direct invasion by rectal cancer [ 8 ], iatrogenic perforation with transrectal drainage of seminal vesicle abscess [ 10 ] and finally, eleven of these reported cases are a direct complication of low anterior resection for rectal cancer [ [3] , [4] , [5] , [13] , [14] , [15] , [16] , [17] , [18] ].…”

Unusual cause for recurrent epididymo‐orchitis: fistula from rectal stump to seminal vesicle

“…Fistulae between the gastrointestinal and urogenital tracts are most commonly colovesical, with the aetiology including diverticular disease (65–75% of cases), cancer (10–20% of cases) and Crohn’s disease (5–7%) . There are very few cases of seminal vesicle‐rectal fistulae described, with only 13 individuals identified and none resulting in severe purulent epididymo‐orchitis requiring orchidectomy.…”

Seminal Vesicle-Rectal Fistula Secondary to Anastomotic Leakage After Low Anterior Resection for Rectal Cancer: A Case Report and Brief Literature Review

“…aspiration or seminal vesicle abcess, 11 secondary vesiculitis, 12 and anastomotic leakage after low anterior resection (LAR) of the rectum. 2,[13][14][15][16][17][18] We could find only 9 reported cases of seminal vesiclerectal fistula after LAR in the PubMed database.…”