Childhood Kidney Diseases

Korean Society of Pediatric Nephrology (대한소아신장학회)
권호 표지
DOI QR코드

DOI QR Code

A Case of Seminal Vesicle Cyst Accompanied with Ipsilateral Renal Agenesis in an Infant

영아에서 발견된 동측 신무형성증과 동반된 정낭낭종 1례

  • Yun, Jin-Sang (Department of Pediatrics, CHA Bundang Medical Center, CHA University) ;
  • Chang, Sun-Jung (Department of Pediatrics, CHA Bundang Medical Center, CHA University) ;
  • Lee, Jun-Ho (Department of Pediatrics, CHA Bundang Medical Center, CHA University)
  • 윤진상 (CHA 의과학대학교 소아과학교실) ;
  • 장선정 (CHA 의과학대학교 소아과학교실) ;
  • 이준호 (CHA 의과학대학교 소아과학교실)
  • Published : 2009.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Seminal vesicle cysts have been rarely detected. Most of them are caused congenitally, and two-thirds of them are accompanied with ipsilateral renal agenesis or dysplasia. They are usually present with dysuria, urinary frequency, perineal pain, epididymitis, pain after ejaculation, scrotal pain or infertility in the second to fourth decade of patient's life. Occasionally cysts are palpable by digital rectal examination, but radiologic imaging study is necessary to diagnose. We report a case of an infant with seminal vesicle cyst accompanied with ipsilateral renal agenesis detected incidentally in postnatal sonogram. The infant's right side of kidney was diagnosed as antenatally multicystic dysplastic kidney.

동측의 신무형성증과 동반된 정낭낭종은 드문 질환이며, 대부분 선천성이지만 2/3에서 신형성부전이나 신무형성증과 연관이 있다. 대부분 10대에서 30대에 걸쳐 증상이 발현되며 배뇨시 통증이나 빈뇨, 회음부 통증, 고환이나 부고환염, 사정 후 동통이나 고환 통증이 주된 증상으로 불임이 동반되기도 한다. 무증상의 환자에서 우연히 직장 수지 검사를 통해 발견되기도 한다. 저자들은 산전 초음파상 다낭성 신이형성증 소견을 보여 초음파를 시행하였던 우측 신무형성증 및 좌측에 경미한 수신증 소견을 보였던 영아에서 추적 관찰 중 동측에 정낭낭종 소견을 관찰하였기에 보고하는 바이다.

Keywords

References

  1. Denes FT, Montellato NI, Lopes RN, Barbosa Filho CM, Cabral AD. Seminal vesicle cyst and ipsilateral renal agenesis. Urology 1986;28:313-5. https://doi.org/10.1016/0090-4295(86)90014-2
  2. Van den Ouden D, Blom JH, Bangma C, de Spiegeleer AH. Diagnosis and management of seminal vesicle cysts associated with ipsilateral renal agenesis: a pooled analysis of 52 cases. Eur Ural 1998;33:433-40. https://doi.org/10.1159/000019632
  3. Cherullo EE, Meraney AM, Bernstein LH, Einstein DM, Thomas AJ, Gill IS. Laparoscopic management of congenital seminal vesicle cysts associated with ipsilateral renal agenesis. J Urol 2002;167:1263-7. https://doi.org/10.1016/S0022-5347(05)65278-0
  4. Ikari O, Castilho LN, Lucena R, D'Ancona CA, Netto NR, Jr. Laparoscopic excision of seminal vesicle cysts. J Urol 1999;162:498-9. https://doi.org/10.1016/S0022-5347(05)68606-5
  5. Conn IG, Peeling WB, Clements R. Complete resolution of a large seminal vesicle cystevidence for an obstructive aetiology. Br J Urol 1992;69:636-9. https://doi.org/10.1111/j.1464-410X.1992.tb15637.x
  6. Selli C, Bartoletti R, Travaglini F, Doggweiler R, Rizzo M. Surgical treatment of bilateral large seminal vesicle cysts associated with unilateral renoureteral agenesis. Urol Int 1997;58:66-8. https://doi.org/10.1159/000282952
  7. Sharma TC, Dorman PS, Dorman HP. Bilateral seminal vesicular cysts. J Urol 1969;102:741-4.
  8. Hoschke B, May M, Seehafer M, Helke C. Mundung eines megaureters mit aplastischer niere in eine samenblasenzyste. Urologe 2003;42:1092-6. https://doi.org/10.1007/s00120-003-0336-1
  9. Gevenois PA, Van Sinoy ML, Sintzoff SA, Jr., Stallenberg B, Salmon I, et al. Cysts of the prostate and seminal vesicles: MR imaging findings in 11 cases. AJR Am J Roentgenol 1990;155:1021-4. https://doi.org/10.2214/ajr.155.5.2120929
  10. Razvi HA, Denstedt JD. Endourologic management of seminal vesicle cyst. J Endourol 1994;8:429-31. https://doi.org/10.1089/end.1994.8.429