Presentation
Pelvic, groin, and right testicular pain. Urinary tract infection.
Patient Data
Mild bladder wall thickening and hyperenhancement, which could be accentuated by underdistention.
Asymmetric enlargement of the right seminal vesicle with increased areas of enhancement and central low attenuation. No well-defined abscess. Subtle, hazy stranding of the fat surrounding the right seminal vesicle. No prostatic abscess.
Hyperemia and soft tissue thickening of the right spermatic cord.
Normal, symmetric appearance of the seminal vesicles.
Case Discussion
This is an uncommon imaging finding of inflammation of the right seminal vesicle and spermatic cord. Seminal vesiculitis can happen through a similar retrograde infection as vasitis and epididymo-orchitis, and thus it is not surprising that they likely accompany each other in this case.
This patient had a urinary tract infection with deep pelvic pain, right groin pain, and right scrotal swelling, supporting the diagnosis.
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