CASE REPORT   

Journal of Radiological Review 2020 January-February;7(1):60-6

DOI: 10.23736/S2723-9284.20.00260-0

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English, Italian

A case of embolization of seminal vesicle lesion bleeding

Paolo DEMARIA ✉, Andrea CERUTTI, Alberto NEGRI, Ilaria BARALIS, Simone BONGIOVANNI, Alberto BALDERI, Roberto PRIOTTO, Enrico PEANO, Maurizio GROSSO

Department of Diagnostic and Interventional Radiology, S. Croce e Carle Hospital, Cuneo, Italy

Seminal vesicle (SV) lesions include a group of rather rare anomalies, whose diagnosis is often delayed due to the low frequency and inadequate evaluation of the underlying pathologies. The diseases affecting SV often manifest themselves with a typical onset symptom, hemospermia, but it is also possible to have hematuria and obstructive dysuria. In literature there are mainly congenital and benign lesions; unlike the prostate with adenocarcinoma, in fact, SVs show a low tendency to develop malignant neoplasms. There are also rare mixed epithelial and stromal lesions, with low, intermediate or high grading. In the urological field, radiological embolization procedures have recently been proposed as a valid treatment for various pathologies, from the treatment of benign prostatic hypertrophy to cases of persistent hematuria, or as an alternative to surgery for patients with concomitant comorbidity, elderly or not eligible for an invasive urological treatment. We present below the case of a patient who came to our attention for persistent bleeding after TURP revision, with evidence on MRI imaging of a poorly recognized lesion of the right SV referable to an epithelio-stromal lesion and treated with two arterial embolization procedures with particles and coils, which allowed to obtain a complete resolution of the symptoms.

KEY WORDS: Therapeutic embolization; Hemorrhage; Seminal vesicles; Stromal tumors