Reflux of contrast material into the seminal vesicles

Case contributed by Dr Bruno Di Muzio

Presentation

Previous history of recent robot-aided prostatectomy.

Patient Data

Age: 65-year-old
Gender: Male
Fluoroscopy

Retrograde Cystogram

Contrast filling the bilateral relatively symmetric structures at the base of the bladder. These are consistent with reflux into the seminal vesicles, confirmed on the CT performed immediately following the cystogram. No contrast extravasation was seen to suggest a leak. No evidence of ureteric reflux bilaterally. The bladder was subsequently emptied with the extravesical contrast remaining unchanged.     

CT

CT Pelvis (selected images)

Urografin within the seminal vesicles.

Case Discussion

This case illustrates the reflux of contrast into the seminal vesicles in a patient previously submitted to robotic-aided resection of the prostate.

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Case information

rID: 46603
Case created: 10th Jul 2016
Last edited: 30th May 2017
System: Urogenital
Tag: rmh
Inclusion in quiz mode: Included

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