Semial vesicle filled with contrast media during IVU
History of left epididymitis and left testectomy. Benign prostate hyperplasia. Recently pollakiuria.
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Normal urinary excretion, renal pelvis and ureters are depicted on the IVU. No presence of calcified stones or dilatation of the urinary tract.
On the late image, after urination a reflux into the left seminal vesicle is detected.
2 case question available
Thanks to Hajnalka Nagy, Izabella Reznek and Imre Zsolnai Nagy for their contribution to the case presentation.
Genital tract reflux is more likely after surgery or with the presence of anorectal malformations or other variation.
- HAROLD A. MITTY. ROENTGEN FEATURES OF REFLUX INTO THE PROSTATE, SEMINAL VESICLES AND VASA DEFERENTIA American Journal of Roentgenology 1971 112:3, 603-606
- Kim B, Kawashima A, Ryu JA, Takahashi N, Hartman RP, King BF Jr. Imaging of the seminal vesicle and vas deferens. Radiographics. 2009 Jul-Aug;29(4):1105-21. doi: 10.1148/rg.294085235
- Wiersma R. Urethro-ejaculatory duct reflux in children: an updated review. Eur J Pediatr Surg. 2009 Dec;19(6):374-6. doi: 10.1055/s-0029-1234115
- Goluboff ET, Kaplan SA, Fisch H. Seminal vesicle urinary reflux as a complication of transurethral resection of ejaculatory ducts. J Urol. 1995 Apr;153(4):1234-5