Congenital Seminal Vesicle Cyst Associated with Ipsilateral Renal Agenesis Mimicking Bladder Outlet Obstruction: A Case Report and Review of the Literature

先天性儲精曩曩腫合併同側腎臟發育不全以膀胱出口阻塞症狀表現：病例報告及文獻回顧

高建璋(Chien-Chang Kao) ； 吳清俊(Ching-Jiunn Wu) ； 孫光煥(Guang-Huan Sun) ； 于大雄(Dah-Shyong Yu) ； 陳宏一(Hong-I Chen) ； 張聖原(Sun-Yran Chang) ； 馬正平(Cheng-Ping Ma) ； 查岱龍(Tai-Lung Cha)

《The Kaohsiung Journal of Medical Sciences》 26卷1期 (2010/01) Pp. 30-34

摘要

儲精囊囊腫合併先天泌尿系統異常是不常見。我們報告一位43歲已婚、不孕男性遭受解尿困難及膀胱刺激症狀達3年之久，特別在近半年症狀加劇。肛門指診發現在攝護腺後面有一個大且質軟腫塊。影像診斷檢查指出一個向膀胱內突起的左側儲精囊囊腫，而且同側的腎臟與輸尿管消失不見。我們實行經直腸超音波儲精囊囊腫抽吸手術。術後，我們使用尿流速(uroflowmetry)紀錄泌尿道臨床症狀改善情況。最大尿流速及平均尿流速各自由18ml/s秒增加為37ml/s，6ml/s增加為16ml/s。

關鍵字

腎臟發育不全 ； 儲精曩曩腫 ； 尿流速圖

並列摘要

Seminal vesicle cysts combined with genitourinary anomalies are uncommon. We present a 43-year-old married man who suffered from difficulty in urination and irritating voiding symptoms for 3 years. The symptoms worsened in the last 6 months. Digital rectal examination revealed a palpable large soft mass behind the prostate. Diagnostic imaging showed a left seminal vesicle cyst with an intravesical protrusion. The ipsilateral kidney and ureter were absent. Transrectal aspiration of the cyst was performed, which improved the clinical genitourinary symptoms. The maximal and mean urinary flow rates increased from 18 to 37 mL/s and from 6 to 16 mL/s, respectively.

並列關鍵字

renal agenesis ； seminal vesicle cyst ； uroflowmetry