Urogenit Tract Infect.  2016 Dec;11(3):114-117. 10.14777/uti.2016.11.3.114.

Successful Treatment of Seminal Vesicle Abscess with Rectal Fistula after Rectal Decompression: Report of a New Case

• Chung JW
• Ha YS
• Lee JN
• Kim HT
• Yoo ES

• KMID: 2366148
• DOI: http://doi.org/10.14777/uti.2016.11.3.114

Abstract

Seminal vesicle abscess is a rare urologic disease. Herein, we report our experience of the first case of a 41-year-old male patient with neurogenic bladder who underwent successful treatment of seminal vesicle abscess with rectal fistula after rectal decompression. Only a simple insertion of the rectal tube with intravenous antibiotics was able to remove the seminal vesicle abscess with rectal fistula without any percutaneous, transvesical, or transurethral drainage of the abscess. Rectal decompression should be considered in advance as a treatment of seminal vesicle abscess with rectal fistula before performing any invasive abscess drainage or fistulectomy.

Keyword

Abscess; Decompression; Fistula; Rectum; Seminal vesicles

MeSH Terms

Abscess*
Adult
Anti-Bacterial Agents
Decompression*
Drainage
Fistula
Humans
Male
Rectal Fistula*
Rectum
Seminal Vesicles*
Urinary Bladder, Neurogenic
Urologic Diseases
Anti-Bacterial Agents

Figure

• 

  Fig. 1. Computed tomography revealed 8 cm sized thick-walled pelvic abscess and right hydronephrouretersosis due to pelvic abscess.

• 

  Fig. 2. Magnetic resonance imaging showed 7.7 cm thick-walled abscess in the posterior aspect of the urinary bladder, initially thought to be originated from the seminal vesicle and rectal fistula.

• 

  Fig. 3. Sigmoidoscopy showed rectal ulcer with fistula formation.

• 

  Fig. 4. Follow-up computed tomography and sigmoidoscopy on the 20th day showed an improved state of abscess cavity and rectal fistula.

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