Large bilateral seminal vesicle calculi presenting with spermolithiasis.

Authors :: Williams SA
Christodoulidou M
Nigam R
Source :: BMJ case reports [BMJ Case Rep] 2017 Jun 02; Vol. 2017. Date of Electronic Publication: 2017 Jun 02.
Publication Year :: 2017
Abstract: A 34-year-old male presented with an 8-month history of passing increasingly painful 'grit' in his ejaculate. Semen analysis was normal as were urinary and blood tests. T1-weighted MRI revealed several bilateral high-signal areas measuring up to 1 cm in diameter, located in the seminal vesicles. These were confirmed as calculi on T2-weighted imaging and a seminal vesiculogram, with no drainage from the left ejaculatory duct and only minimal from the right duct. He is currently awaiting a robot-assisted laparoscopic vesiculotomy after completion of family.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)