Congenital seminal vesicle cyst with ipsilateral renal agenesis, vascular anomalies and intestinal malrotation

Wednesday, 11 Nov 2009 15:46:16 GMT

A 37-year-old man presented to the emergency room with a 1-day history of right lower-quadrant pain. There was no associated fever, vomiting, diarrhea, dysuria or hematuria. There were no significant medical or surgical histories. He was not on any medications. The vital signs on admission were normal:
-Blood pressure 130/80,
-Pulse 100,
-Respiratory rate 16,
-Temperature 98.1°F.
Physical examination revealed a comfortable patient in no acute distress, who was alert and oriented in time, space and person. The abdomen was soft, slightly tender in the right lower quadrant, but with no rebound tenderness. Bowel sounds were present. The patient was then sent to the radiology department for computed tomography (CT) of the abdomen and pelvis to exclude appendicitis, Meckel’s diverticulitis or any other pathology.

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Congenital seminal vesicle cyst with ipsilateral renal agenesis, vascular anomalies and intestinal malrotation