幻灯精囊囊肿合并同侧肾发育不良2(免费阅读).pptVIP

* * * * A 19-year-old man with chief complaints of painless hematuria for 15 days without fever MR imaging of the pelvis showed a large mass dorsolateral of the bladder in the left pelvis, measured 6.0cm in greatest diameter, arising from the left seminal vesicle. The mass showed high T1 and T2 signal intensity compatible with a cyst, it had a tube-like structure meandering along the left wall of the pelveis.The bladder was compressed with a smooth well-defined extrinsic filling defect in the left posterior aspect CT imaging of the abdomen showed an absent left kidney and collecting system. Right kidney and collecting system were normal saintsimon198238@ A rare urological anomaly Renal sonographic mass screening among 280,000 children in a 2.5-year period in Taipei:0.0046% A breakdown of the 29 cases reported in Japan during the past 20 years Seminal vesicle cysts are associated with ipsilateral renal agenesis in 68% Several case reports describe seminal vesicle cysts combined with ureteral ectopia in the seminal vesicle,all kidneys with this anomaly were dysplastic usually become apparent in the second to fouth decade during the period of sexual activity(average 30) Only 2 patients (4%) were of African origin, whereas 50 patients (96%) were Caucasians The ratio R:L = 2:1. Ureteral remnants ending in the cysts were present in 14 cases (27%) and absent in 32 patients (62%) The majority of the cysts was discovered during digital rectal examination (79%) Etiology：unknown Intravenous urography Ultrasonography Transabdominal Transrectal Computer tomography Magnetic resonance imaging Isotope renography Cystoscopy All patients were free of symptoms after open exploration. The success rates after transurethral deroofing and aspiration were 75 and 30% respectively. * * * * * * * * * * * * * * * *