Abscess of the seminal vesicle in a kidney allograft recipient: a clinical case report
https://doi.org/10.21886/2308-6424-2026-14-2-118-123
Abstract
The article presents a clinical observation of a rare case of seminal vesicle abscess in apatient after kidney transplantation, who was receiving immunosuppressive therapy. The patient was admitted with complaints of high fever, general weakness, scrotal pain. Conservative treatment with reserve antibiotics proved ineffective. Pelvic magnetic resonance imaging (MRI) revealed an abscess of the right seminal vesicle. The patient underwent transperineal drainage, which resulted in a favorable clinical outcome. This case highlights the importance of considering purulent-destructive changes of the pelvic organs in the differential diagnosis of patients with immunodeficiency and nonspecific pelvic symptoms. Magnetic resonance imaging plays a key role in timely diagnosis verification, while a combined approach including targeted antibiotic therapy and adequate drainage ensures optimal treatment outcomes.
Keywords
seminal vesicle abscess,
epididymo-orchitis,
immunosuppression,
kidney transplantation,
transperineal drainage
Supporting agencies: The study was not sponsored.
About the Authors
T. L. Ho
Peoples’ Friendship University of Russia
Russian Federation
Competing Interests:
Russian Federation
Tuong Lan Ho
Moscow
Competing Interests:
The authors declare no conflicts of interest
R. N. Trushkin
Peoples’ Friendship University of Russia; Moscow Clinical Research Centre Clinical Hospital No. 52
Russian Federation
Competing Interests:
Russian Federation
Ruslan N. Trushkin — Dr. Sc.(Med)
Moscow
Competing Interests:
The authors declare no conflicts of interest
T. K. Isaev
Moscow Clinical Research Centre Clinical Hospital No. 52
Russian Federation
Competing Interests:
Russian Federation
Teimur K. Isaev — Dr. Sc.(Med)
Moscow
Competing Interests:
The authors declare no conflicts of interest
D. A. Kuvyrdin
Moscow Clinical Research Centre Clinical Hospital No. 52
Russian Federation
Competing Interests:
Russian Federation
Dmitry A. Kuvirdin
Moscow
Competing Interests:
The authors declare no conflicts of interest
N. V. Morozov
Moscow Clinical Research Centre Clinical Hospital No. 52
Russian Federation
Competing Interests:
Russian Federation
Nikolay V. Morozov
Moscow
Competing Interests:
The authors declare no conflicts of interest
S. S. Andreev
Moscow Clinical Research Centre Clinical Hospital No. 52
Russian Federation
Competing Interests:
Russian Federation
Sergey S. Andreev — Cand.Sc.(Med)
Moscow
Competing Interests:
The authors declare no conflicts of interest
References
1. Rajfer J, Eggleston JC, Sanders RC, Walsh PC. Fever and Prostatic Mass in a Young Man. The Journal of Urology. 1978;119(4):555-558. DOI: 10.1016/S0022-5347(17)57546-1
2. Rajiwate FL, Bolbandi D. Primary Seminal Vesicle Abscess: A Diagnostic Dilemma— A Review of Current Literature. The Journal of Medical Sciences. 2019;5(3):67-69. DOI: 10.5005/jp-journals-10045-00126
3. Pandey P, Peters J, Shingleton WB. Seminal vesicle abscess: a case report and review of literature. Scand J Urol Nephrol. 1995;29(4):521-524. DOI: 10.3109/00365599509180039
4. Sihra N, Aboelsoud M, Oliyide A, Counsell A, Gall Z. Seminal Vesicle Abscess-An Unusual Complication Following Vasectomy. Urology. 2018;116:20-22. DOI: 10.1016/j.urology.2017.12.015
5. Wadei HM, Brumble L, Broderick GA, Gonwa TA. Polymicrobial seminal vesical abscess in a kidney transplant recipient. Urology. 2008;72(2):296. DOI: 10.1016/j.urology.2008.03.039
6. Gromov A.I., Prokhorov A.V. Clinical and ultrasonographic diagnosis of acute vesiculitis. Ural’skii meditsinskii zhurnal. 2017;(2):145-158. (In Russian)
7. Dagur G, Warren K, Suh Y, Singh N, Khan SA. Detecting diseases of neglected seminal vesicles using imaging modalities: A review of current literature. Int J Reprod Biomed. 2016;14(5):293-302. PMID: 27326413; PMCID: PMC4910035
8. Sağlam M, Uğurel S, Kilciler M, Taşar M, Somuncu I, Uçöz T. Transrectal ultrasound-guided transperineal and transrectal management of seminal vesicle abscesses. Eur J Radiol. 2004;52(3):329-334. DOI: 10.1016/j.ejrad.2003.11.006
9. Suvorova M.P., Sychev I.N., Ignatenko O.V., Burmistrova E.N., Mirzakhamidova S.S., Fedina L.V., Vakolyuk R.M., Yakovlev S.V. The First Experience of Combined Use of Cefepime/Sulbactam and Aztreonam in ICU Patients with Nosocomial Infections Caused by CarbapenemResistant Gram-Negative Microorganisms Producing Class B and D Carbapenemases. Antibiotiki i Khimioterapiya = Antibiotics and Chemotherapy. 2022;67(11-12):36-45. (In Russian).
10. Tsuji BT, Pogue JM, Zavascki AP, Paul M, Daikos GL, Forrest A, Giacobbe DR, Viscoli C, Giamarellou H, Karaiskos I, Kaye D, Mouton JW, Tam VH, Thamlikitkul V, Wunderink RG, Li J, Nation RL, Kaye KS. International Consensus Guidelines for the Optimal Use of the Polymyxins: Endorsed by the American College of Clinical Pharmacy (ACCP), European Society of Clinical Microbiology and Infectious Diseases (ESCMID), Infectious Diseases Society of America (IDSA), International Society for Anti-infective Pharmacology (ISAP), Society of Critical Care Medicine (SCCM), and Society of Infectious Diseases Pharmacists (SIDP). Pharmacotherapy. 2019;39(1):10-39. DOI: 10.1002/phar.2209
11. Tamma PD, Heil EL, Justo JA, Mathers AJ, Satlin MJ, Bonomo RA. Infectious Diseases Society of America 2024 Guidance on the Treatment of Antimicrobial-Resistant Gram-Negative Infections. Clin Infect Dis. 2024:ciae403. DOI: 10.1093/cid/ciae403. Epub ahead of print.
12. Xiao Y, Yi C, Ge J, Liu Y. Successful treatment of bilateral seminal-vesicle abscess by transurethral seminal vesiculoscopy: A case report. Asian J Surg. 2024;47(6):2704-2706. DOI: 10.1016/j.asjsur.2024.03.108
Review
For citations:
Ho T.L., Trushkin R.N., Isaev T.K., Kuvyrdin D.A., Morozov N.V., Andreev S.S. Abscess of the seminal vesicle in a kidney allograft recipient: a clinical case report. Urology Herald. 2026;14(2):118-123. https://doi.org/10.21886/2308-6424-2026-14-2-118-123
Views:
12
JATS XML
Email this article 