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Year : 2017  |  Volume : 1  |  Issue : 2  |  Page : 81-82

Seminal vesicle cyst causing peritoneal dialysis catheter failure


Department of Medical Imaging, Division of Vascular Interventional Radiology, King Abdulaziz Medical City, Riyadh, Saudi Arabia

Date of Web Publication11-Aug-2017

Correspondence Address:
Abdulaziz Alharbi
Department of Medical Imaging, Division of Vascular Interventional Radiology, King Abdulaziz Medical City, P. O. Box: 22490, Riyadh 11426
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/AJIR.AJIR_14_17

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How to cite this article:
Alharbi A, Alammari S, Salman R, Alzahrani Y. Seminal vesicle cyst causing peritoneal dialysis catheter failure. Arab J Intervent Radiol 2017;1:81-2

How to cite this URL:
Alharbi A, Alammari S, Salman R, Alzahrani Y. Seminal vesicle cyst causing peritoneal dialysis catheter failure. Arab J Intervent Radiol [serial online] 2017 [cited 2020 Sep 24];1:81-2. Available from: http://www.arabjir.com/text.asp?2017/1/2/81/212843



A 57-year-old man presented for percutaneous peritoneal dialysis (PD) catheter insertion. However, there was poor inflow and outflow during catheter evaluation [Figure 1].
Figure 1: Contrast injection through the PD catheter shows poor spillage into the pelvic cavity

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Unenhanced abdominal computed tomography showed retrovesicular hypodense rounded lesion [Figure 2] displacing the PD catheter loop [Figure 2]. This is associated with the right renal agenesis [Figure 3]. Magnetic resonance imaging showed a macrolobulated cystic lesion communicating with the right seminal vesicle with no intralesional soft tissue components [Figure 4].
Figure 2: Unenhanced abdominal computed tomography shows retrovesicular hypodense rounded lesion (asterisk) displacing the peritoneal dialysis catheter loop (arrows)

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Figure 3: Axial CT scan shows right renal agenesis

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Figure 4: Magnetic resonance imaging shows a macrolobulated cystic lesion communicating with the right seminal vesicle. No intralesional soft tissue components (asterisk)

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These findings are consistent of Zinner syndrome, which is a rare congenital anomaly of the mesonephric duct consisting of unilateral renal agenesis, seminal vesicle cyst, and ipsilateral ejaculatory duct obstruction.

The PD catheter was removed 2 weeks later and the patient was converted to hemodialysis. Pelvic lesions may preclude proper function of PD catheters and cross-sectional imaging is essential for preprocedure evaluation.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.




    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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