Li K, Liu NB, Liu JX, Chen QN, Shi BM. Acute diffuse peritonitis secondary to a seminal vesicle abscess: A case report. World J Clin Cases 2023; 11(3): 645-654 [PMID: 36793632 DOI: 10.12998/wjcc.v11.i3.645]
Corresponding Author of This Article
Bao-Min Shi, Doctor, MD, PhD, Chief Doctor, Professor, Surgeon, Department of General Surgery, Tongji Hospital of Tongji University, No. 389 Xincun Road, Putuo District, Shanghai 200065, China. tjshibaomin@tongji.edu.cn
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jan 26, 2023; 11(3): 645-654 Published online Jan 26, 2023. doi: 10.12998/wjcc.v11.i3.645
Acute diffuse peritonitis secondary to a seminal vesicle abscess: A case report
Kun Li, Nan-Bin Liu, Jiang-Xi Liu, Quan-Ning Chen, Bao-Min Shi
Kun Li, Nan-Bin Liu, Jiang-Xi Liu, Quan-Ning Chen, Bao-Min Shi, Department of General Surgery, Tongji Hospital of Tongji University, Shanghai 200065, China
Nan-Bin Liu, National and Local Joint Engineering Research Center of Biodiagnosis and Biotherapy, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710000, Shaanxi Province, China
Author contributions: Shi BM and Chen QN contributed to the conception and design of the study and performed the operation on the patient; Li K and Liu NB collected the data, performed the data analysis, and wrote the initial draft of the manuscript; Liu JX participated in the clinical management and follow-up of the patient, and analyzed and interpreted the data; all authors contributed to drafting and revising the manuscript and approved the submitted version.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bao-Min Shi, Doctor, MD, PhD, Chief Doctor, Professor, Surgeon, Department of General Surgery, Tongji Hospital of Tongji University, No. 389 Xincun Road, Putuo District, Shanghai 200065, China. tjshibaomin@tongji.edu.cn
Received: September 26, 2022 Peer-review started: September 26, 2022 First decision: November 11, 2022 Revised: November 18, 2022 Accepted: January 3, 2023 Article in press: January 3, 2023 Published online: January 26, 2023
Core Tip
Core Tip: Seminal vesicle abscess (SVA) is a relatively rare urinary system infection, and acute diffuse peritonitis (ADP) induced by SVA is unusual. We report a male patient who had a left SVA induced by a long-term indwelling urinary catheter, and this condition was complicated with pelvic abscess, ADP, multiple organ dysfunction syndrome, infectious shock, bacteremia, and acute appendiceal extraserous suppurative inflammation. With no obvious relief by conservative treatment, puncture drainage of the perineal SVA and abdominal abscess drainage + appendectomy was performed. In this case, the left SVA not only affected the adjacent prostate and bladder but also spread retrogradely through the vas deferens, forming a pelvic abscess in the loose tissues of the extraperitoneal fascia layer. Inflammation involving the peritoneal layer led to ascites and pus accumulation in the abdominal cavity, and appendix involvement led to extraserous suppurative inflammation.
