Tuberculosis of the Prostate and Seminal Vesicles

Full Article

J Joseph, H Narayanan, H Babu, A Praveen

Hong Kong J Radiol 2010;13:40-2

We report a rare manifestation of tuberculosis of the prostate and seminal vesicles without involvement of the rest of the genito-urinary tract. A 27-year-old male initially presented with clinical and laboratory evidence of pulmonary tuberculosis. Two weeks later, the patient developed dysuria. Ultrasound abdomen showed an enlarged prostate and seminal vesicles with irregular hypoechoic areas and hypervascularity. Transrectal ultrasound showed similar findings. Computed tomography showed enlargement of the prostate and both seminal vesicles; ring-enhancing lesions were evident in the prostate. Transrectal ultrasound-guided prostate biopsy showed caseating granulomas with Langerhans’ giant cells suggestive of tuberculosis.

 

中文摘要

前列腺及精囊腺結核病

J Joseph, H Narayanan, H Babu, A Praveen

本文報告一例前列腺及精囊腺結核病但泌尿生殖道其餘部分無受累的病例。一名27歲男性,臨床及 實驗室數據最初顯示有肺結核病。兩星期後症狀發展為排尿困難。腹部超聲檢查顯示其前列腺及精 囊腺增大,並有不規則低回聲區及血管增生。經直腸超聲檢查有相似發現。電腦斷層亦同樣發現病 人前列腺及精囊腺增大,前列腺內有明顯環狀强化病灶。經直腸超聲引導下前列腺活檢,證實其內 有乾酪化樣肉芽腫及Langerhans巨細胞,提示為結核病。