Two cases of seminal vesicle fistula

Carlin, Johan D.; Nicholson, D A; Scott, Nigel

doi:10.1016/s0009-9260(99)90560-3

Cited by 22 publications

(15 citation statements)

References 8 publications

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“…[6] Urinary tract involvement in cases of colorectal cancer is by means of direct invasion or fistula formation. [6–8] In addition, colon cancer can induce Fournier gangrene. [9,10] Therefore, the urinary tract can be affected by direct tumor invasion or tumor-associated inflammatory processes.…”

Section: Discussionmentioning

confidence: 99%

Emphysematous epididymo-orchitis as a camouflage of prostate invasion secondary to rectum cancer

et al. 2016

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Introduction:Emphysematous epididymo-orchitis is a rare cause of acute scrotum pain characterized by gas formation within the tissue. Diabetes mellitus and recto-seminal fistula secondary to sigmoid diverticulitis are generally accepted as being responsible for this disease. However, prostate invasion secondary to rectal cancer may be considered to be a newly identified pathogenetic mechanism. Herein, we report this rare case and illustrate the pathogenesis.Case presentation: A 69-year-old man arrived at our emergency department presenting with sepsis and acute scrotal pain. Emphysematous epididymo-orchitis was diagnosed by scrotal sonography initially; however, advanced rectal cancer with prostate invasion was diagnosed by CT after a recurrent episode. An exploratory laparotomy with abdominoperineal resection and radical prostectomy were performed after neoadjuvant chemoradiotherapy. Histopathologic analysis confirmed the previous diagnosis. Emphysematous epididymo-orchitis caused by advanced rectal cancer is very rare, and our case is the first to be reported according to a literature search. Neoadjuvant chemoradiotherapy plus extended surgery can achieve a good oncological outcome.Conclusion:This case indicated that the very rare presentation as emphysematous epididymo-orchitis caused by locally advanced colorectal cancer.

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Section: Discussionmentioning

confidence: 99%

Emphysematous epididymo-orchitis as a camouflage of prostate invasion secondary to rectum cancer

et al. 2016

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“…A fistula is an abnormal connection between two epithelial surfaces, and fistulae may communicate with any structure within the body [1] . However, seminal vesiclerectal fistula is very rare.…”

Section: Discussionmentioning

confidence: 99%

“…The other 3 cases were related to rectal adenocarcinoma, and either colorectal resection or radiation therapy had already been performed in these cases [1,3,4] . Pneumaturia was reported in 1 of these cases.…”

Section: Discussionmentioning

confidence: 99%

Seminal Vesicle-Rectal Fistula with Preceding Right Acute Epididymitis

et al. 2007

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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.

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“…Seven cases have so far been reported: complicating surgery for rectal or prostatic neoplasms [1,2,3], after radiotherapy [4,5], a complication of Crohn's disease [6], and only 1 case with diverticular disease [7]. Clinical presentation is usually subacute with symptoms mimicking colovesical fistulas, namely pneumaturia and dysuria.…”

Section: Figmentioning

confidence: 99%