Case of the Month # 168: Seminal Vesicle Cysts with Ipsilateral Renal Dysgenesis Jason R. Kovac, MSc, PhD, MD, Dimitri Golev, MD, Vajid Khan, MD, Marc.

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Case of the Month # 168: Seminal Vesicle Cysts with Ipsilateral Renal Dysgenesis Jason R. Kovac, MSc, PhD, MD, Dimitri Golev, MD, Vajid Khan, MD, Marc Anthony Fischer, MD, FCFP, FRCSC Canadian Association of Radiologists Journal Volume 62, Issue 3, Pages 223-225 (August 2011) DOI: 10.1016/j.carj.2009.12.007 Copyright © 2011 Canadian Association of Radiologists Terms and Conditions

Figure 1 Unenhanced axial computed tomographic image obtained to rule out renal calculi. An atrophic left kidney is visualized with associated fat stranding possibly because of pyelonephritis. Canadian Association of Radiologists Journal 2011 62, 223-225DOI: (10.1016/j.carj.2009.12.007) Copyright © 2011 Canadian Association of Radiologists Terms and Conditions

Figure 2 Enhanced axial computed tomographic images after oral and intravenous contrast obtained in the portal venous and delayed phases. (A) Normal right kidney and dysplastic left kidney (solid arrowhead), with associated retroperitoneal stranding are visualized. (B) Delayed phase shows the right ureter draining into a contrast-filled bladder (open arrowhead); large, distended seminal vesicle cysts are present posterior to the bladder (closed arrowhead). Canadian Association of Radiologists Journal 2011 62, 223-225DOI: (10.1016/j.carj.2009.12.007) Copyright © 2011 Canadian Association of Radiologists Terms and Conditions

Figure 3 Coronal computed tomographic image of the abdomen and pelvis obtained in the delayed phase. The right kidney is shown with contrast exiting via the right ureter and continuing down immediately lateral to the dilated seminal vesicles (open arrowhead). A lack of contrast excretion from the left kidney along with a dilated left ureter inserting into distended seminal vesicle cysts (solid arrowhead) are shown. Canadian Association of Radiologists Journal 2011 62, 223-225DOI: (10.1016/j.carj.2009.12.007) Copyright © 2011 Canadian Association of Radiologists Terms and Conditions

Figure 4 Axial, transabdominal ultrasound image through the urinary bladder identifies tubular structures that represent dilated seminal vesicles (solid arrowhead) located posterior to the bladder (open arrowhead). Canadian Association of Radiologists Journal 2011 62, 223-225DOI: (10.1016/j.carj.2009.12.007) Copyright © 2011 Canadian Association of Radiologists Terms and Conditions