Carlos Arroyo, Servicio de Urología, Hospital Ángeles de Puebla, Puebla, Puebla, México
Jesus Vargas, Escuela de Medicina, Universidad Anáhuac Puebla, Puebla, Puebla, México
Juan Meza, Verken Lab. Puebla, Puebla, México
Diana Avendaño, Verken Lab. Puebla, Puebla, México
Elena Soto, Escuela de Medicina, Universidad Anáhuac Puebla, Puebla, Puebla, México
Congenital anomalies of seminal vesicles are a rare clinical entity, which is demonstrated by the limited number of cases reported in the literature about their incidence. This is the case report of a 33-year-old patient, asymptomatic, with infertility and with a physical examination within normal parameters. As part of his diagnostic assessment, a magnetic resonance imaging was performed, which reported as a conclusion the fusion of the right seminal vesicle with the contralateral one. This fusion extends through the midline with blood content. The patient continues with his evaluation for infertility. Congenital malformations of the seminal vesicles are subdivided into agenesis, hypoplasia, fusion, duplication, or cysts, with the possible effect of infertility. These malformations are usually findings in magnetic resonance imaging and generally lack pathological implications; however, it is relevant to know about their existence due to the repercussion on the surgical approach during radical prostatectomy, modifying the dissection to an extensive dissection and avoiding injury to the vascular-nerve bundles.
Keywords: Seminal vesicles. Infertility. Magnetic resonance. Radical prostatectomy.