PMC9837258_01
Transrectal ultrasonography showed markedly dilated seminal vesicles with hyperechoic density, suggesting the existence of abscesses.
10.1177_11795476221146900-fig1.jpg
PMC9837258_01_10.1177_11795476221146900-fig1.jpg
fig1-11795476221146900
TRUS to further clarify the pathological nature of the dilated vesicles. The TRUS confirmed the existence of markedly distended seminal vesicles (up to 4 cm in diameter) with hyperechogenic contents suggesting abscesses formation (Figure 1), and a midline prostatic cyst (5 mm in diameter) (Figure 2).
Transrectal ultrasonography showing the prostate with a 5 mm central utricle cyst harboring calcific foci.
10.1177_11795476221146900-fig2.jpg
PMC9837258_01_10.1177_11795476221146900-fig2.jpg
fig2-11795476221146900
TRUS to further clarify the pathological nature of the dilated vesicles. The TRUS confirmed the existence of markedly distended seminal vesicles (up to 4 cm in diameter) with hyperechogenic contents suggesting abscesses formation (Figure 1), and a midline prostatic cyst (5 mm in diameter) (Figure 2).
MRI-pelvis showing markedly dilated left seminal vesicle (the yellow arrow), reaching 5 cm in the anteroposterior diameter. There was a fluid collection in the lower pole of the left testis (the blue arrow), suggesting a potential abscess formation.
10.1177_11795476221146900-fig3.jpg
PMC9837258_01_10.1177_11795476221146900-fig3.jpg
fig3-11795476221146900
The image showed notably dilated seminal vesicles (Figure 3) with diverse signal intensities from normal. The left testis also suspiciously showed a fluid collection in its lower pole, suggesting an impending abscess formation (Figure 3).
Surgical exploration of the left testicular abscess (TA) with drainage and debridement. The tip of the finger demonstrates the cavity of the drained abscess.
10.1177_11795476221146900-fig4.jpg
PMC9837258_01_10.1177_11795476221146900-fig4.jpg
fig4-11795476221146900
An abscess (2 cm x 3 cm) in the lower pole of the markedly left swollen testis was detected (Figure 4) with areas of necrosis.