title: Emphysematous epididymitis as presentation of unusual seminal vesicle fistula secondary to sigmoid diverticulitis: case report.
abstract: This case report describes a sigmoid diverticulitis with torpid development, long-term symptoms of bladder irritability, and an emphysematous epididymitis caused by a direct seminal vesicle fistula. The diagnosis was suggested by scrotal ultrasound visualizing gas in the scrotum; the complex pelvic fistulous tract was specifically delineated by multislice computed tomography. This may be the first reported case of seminal vesicle fistula directly related to colonic diverticulitis and causing emphysematous epididymitis.
authors.affiliation: Departments of Diagnostic Radiology, Clinique St Luc, Rue St Luc 8, 5004, Bouge (Namur), Belgium. bcoulier@belgacom.net
authors.forename: B
authors.initials: B
authors.lastname: Coulier
authors.forename: A
authors.initials: A
authors.lastname: Ramboux
authors.forename: P
authors.initials: P
authors.lastname: Maldague
mesh_terms: D000368:Aged; D004239:Diverticulitis, Colonic / Q000150:complications*; D004646:Emphysema / Q000000981:diagnostic imaging / Q000209:etiology*; D004823:Epididymitis / Q000000981:diagnostic imaging / Q000209:etiology*; D005402:Fistula / Q000150:complications / Q000175:diagnosis* / Q000209:etiology*; D005832:Genital Diseases, Male / Q000150:complications / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D008297:Male; D012611:Scrotum / Q000000981:diagnostic imaging; D012669:Seminal Vesicles; D012810:Sigmoid Diseases / Q000150:complications*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography