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Unusual association of diseases/symptoms
CASE REPORT
Large bilateral seminal vesicle calculi presenting with spermolithiasis
  1. Sarah Anne Williams1,
  2. Michelle Christodoulidou2,
  3. Raj Nigam3
  1. 1Orthopaedics, Royal Free London NHS Foundation Trust, London, UK
  2. 2Urology, University College London Hospitals NHS Foundation Trust, London, UK
  3. 3Urology, The Royal Surrey County Hospital, Surrey, UK
  1. Correspondence to Miss Sarah Anne Williams, sawilliams{at}doctors.org.uk

Summary

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.

  • Urinary and genital tract disorders
  • Surgery
  • Urological surgery
  • Urology

https://doi.org/10.1136/bcr-2017-219630

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    Footnotes

    • Contributors SAW was responsible for gaining the history of the case, the background research of the topic and the writing of the manuscript plus amendments. MC provided supervision and advice during the draft versions, made amendments and provided further relevant articles for additional evidence. RN provided guidance and supervision on how to present the case, provided imaging from investigations and oversaw the final edit prior to submission.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.