A prostate utricle cyst as a cause of haematospermia in a young adult: a case report.


Journal

Acta bio-medica : Atenei Parmensis
ISSN: 2531-6745
Titre abrégé: Acta Biomed
Pays: Italy
ID NLM: 101295064

Informations de publication

Date de publication:
14 04 2022
Historique:
received: 06 10 2021
accepted: 30 10 2021
entrez: 14 4 2022
pubmed: 15 4 2022
medline: 19 4 2022
Statut: epublish

Résumé

Prostatic utricle cyst is an embryological remnant of the Muller duct system, resulting from an incomplete regression of these structures during embryological development. Most of the time such congenital alteration is asymptomatic, but may sometimes present with various signs and symptoms, from urinary tract infections to episodes of haematospermia in a small percentage of cases. We reported the case of a 42-years-old man who suffered from recurrent episodes of haematospermia for about 20 years; the instrumental examinations, first of all TRUS and then MRI evaluation, demonstrated the presence of a cystic formation, located in the posterior median site of the prostate closely to the prostatic urethra. The cytological examination on the liquid taken by transperineal US-guided fine-needle aspiration, confirmed the presence of seminal fluid and normal prostatic tissue consistent with the diagnostic hypothesis of prostatic utricle cyst. It's important to recognize the imaging characteristics of the prostatic utricle cyst since it may be one of the possible benign causes of hematospermia in the young adult subject.

Sections du résumé

BACKGROUND AND AIM
Prostatic utricle cyst is an embryological remnant of the Muller duct system, resulting from an incomplete regression of these structures during embryological development. Most of the time such congenital alteration is asymptomatic, but may sometimes present with various signs and symptoms, from urinary tract infections to episodes of haematospermia in a small percentage of cases.
METHODS
We reported the case of a 42-years-old man who suffered from recurrent episodes of haematospermia for about 20 years; the instrumental examinations, first of all TRUS and then MRI evaluation, demonstrated the presence of a cystic formation, located in the posterior median site of the prostate closely to the prostatic urethra.
RESULTS
The cytological examination on the liquid taken by transperineal US-guided fine-needle aspiration, confirmed the presence of seminal fluid and normal prostatic tissue consistent with the diagnostic hypothesis of prostatic utricle cyst.
CONCLUSIONS
It's important to recognize the imaging characteristics of the prostatic utricle cyst since it may be one of the possible benign causes of hematospermia in the young adult subject.

Identifiants

pubmed: 35420599
doi: 10.23750/abm.v93iS1.12368
pmc: PMC10510964
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e2022094

Références

AJR Am J Roentgenol. 2007 May;188(5):1373-9
pubmed: 17449785
Pediatr Med Chir. 2018 May 30;40(1):
pubmed: 29871477
AJR Am J Roentgenol. 1995 Jan;164(1):123-7
pubmed: 7998524
BMC Urol. 2019 Apr 3;19(1):21
pubmed: 30943976
Radiographics. 2013 Jul-Aug;33(4):1125-43
pubmed: 23842975
Case Rep Urol. 2017;2017:7502878
pubmed: 29430319

Auteurs

Umberto Tupputi (U)

. umbertotupputi@yahoo.it.

Francesca Anna Carpagnano (FA)

. c.francesca1991@gmail.com.

Laura Eusebi (L)

. lauraeu@virgilio.it.

Manuel Di Biase (M)

. dibiaseman@gmail.com.

Aldo Cammarota (A)

. aldo.cammarota@crob.it.

Giuseppe Guglielmi (G)

. giuseppe.guglielmi@unifg.it.

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Classifications MeSH