Published online Sep 28, 2013. doi: 10.4329/wjr.v5.i9.349
Revised: July 30, 2013
Accepted: August 12, 2013
Published online: September 28, 2013
Processing time: 140 Days and 20.4 Hours
We present a case of left ectopic ureter insertion into the left seminal vesicle which is a rare anomaly. The incidence of ectopic insertion of the ureter is more common in females and is usually associated with incontinence, leading to the diagnosis, while in males it is present with infection. Ectopic ureter is defined as abnormal insertion of the ureter, occurring in the posterior urethra in approximately 50% of cases in males. Other sites include the seminal vesicle (approximately one-third), vas deferens, bladder neck, prostate and epididymis, while the urethra and vagina are commonly affected in females. Management is usually addressed to the upper tract only; if there is incontinence it requires removal of the ureteric stump. Our case was initially diagnosed by magnetic resonance imaging and the diagnosis confirmed by computed tomography (CT) guided seminal vesiculography as transrectal guidance for seminal vesiculography was refused by the patient. CT guided seminal vesiculography is less painful and more tolerable than the transrectal route.
Core tip: We present the role of the traditional technique of computed tomography seminal vesiculography in the diagnosis of the rare anomaly of ectopic insertion of the ureter into the seminal vesicle in a male patient.