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Emphysematous epididymitis as presentation of unusual seminal vesicle fistula secondary to sigmoid diverticulitis: case report

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Abstract

This case report describes a sigmoid diverticulitis with torpid development, long-term symptoms of bladder irritability, and an emphysematous epididymitis caused by a direct seminal vesicle fistula. The diagnosis was suggested by scrotal ultrasound visualizing gas in the scrotum; the complex pelvic fistulous tract was specifically delineated by multislice computed tomography. This may be the first reported case of seminal vesicle fistula directly related to colonic diverticulitis and causing emphysematous epididymitis.

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Authors and Affiliations

  1. Departments of Diagnostic Radiology, Clinique St Luc, Rue St Luc 8, 5004, Bouge (Namur), Belgium

    B. Coulier

  2. Department of Abdominal Surgery, Clinique St Luc, Rue St Luc 8, 5004, Bouge (Namur), Belgium

    A. Ramboux

  3. Department of Gastroenterology, Clinique St Luc, Rue St Luc 8, 5004, Bouge (Namur), Belgium

    P. Maldague

Authors
  1. B. Coulier
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  2. A. Ramboux
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  3. P. Maldague
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Correspondence to B. Coulier.

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Coulier, B., Ramboux, A. & Maldague, P. Emphysematous epididymitis as presentation of unusual seminal vesicle fistula secondary to sigmoid diverticulitis: case report. Abdom Imaging 30, 113–116 (2004). https://doi.org/10.1007/s00261-004-0216-1

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  • DOI: https://doi.org/10.1007/s00261-004-0216-1

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