Surgical treatment of giant seminal vesicle cyst with ureteral compression: a case report.

IF 1.6 4区医学 Q2 SURGERY Frontiers in Surgery Pub Date : 2025-03-03 eCollection Date: 2025-01-01 DOI:10.3389/fsurg.2025.1503368

Zhuoran Gu, Liang Sun, Wentao Zhang, Jiang Geng, Lei Jiang, Yifan Chen

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Abstract

Background: Seminal vesicle cysts (SVCs) are rare benign diseases in men and are commonly asymptomatic. Giant SVCs with complications there are no standard treatments for SVCs, however surgical intervention is required for giant SVCs accompanied with complications.

Case summary: We present one case of a 49-year-old male patient diagnosed with giant SVC. Chief complaint of this patient was persistent gross hematuria for 1 week. Both a computed tomography (CT) and magnetic resonance imaging (MRI) scans indicated the presence of a cystic mass in left seminal vesicle with hemorrhage, of which the maximum diameter is 6.5 cm. Additionally, Giant SVC squeezed the prostate and lower ureter, leading to the dilatation of the left upper ureter and hydronephrosis. After a thorough preoperative evaluation, a laparoscopic resection of SVC and left ureteral stenting were performed. The subsequent pathological analysis identified a seminal vesicle cyst inflammatory infiltration. Postoperative follow-up indicated no abnormalities in left seminal vesicle.

Conclusion: Laparoscopic surgery is recommended for giant SVCs with complications.

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巨大精囊囊肿伴输尿管压迫的手术治疗：病例报告。

背景：精囊囊肿（SVCs）是男性罕见的良性疾病，通常无症状。伴有并发症的巨大SVCs没有标准的治疗方法，但对于伴有并发症的巨大SVCs需要手术干预。病例总结：我们报告一例49岁男性患者被诊断为巨大SVC。主诉为持续肉眼血尿1周。CT和MRI均提示左侧精囊囊性肿块伴出血，最大直径6.5 cm。此外，巨大SVC挤压前列腺和下输尿管，导致左侧上输尿管扩张和肾积水。术前全面评估后，行腹腔镜下SVC切除和左输尿管支架置入。随后的病理分析确定为精囊囊肿炎性浸润。术后随访显示左侧精囊未见异常。结论：对于合并并发症的巨大上腔细胞，建议行腹腔镜手术治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.