Case report
We report the case of a young male with no significant medical history
that was admitted to our hospital for frequent pus discharge from the
rectum found in his underwear.
Physical examination showed no specific symptoms beside secretions in
his underwear with no fever.
A rectal examination was performed by the surgeon wich was stained by
pus fistula tract was found.
A Pelvic MRI was then performed for a better study of the pelvis and the
lower digestive tract.
The MRI showed very distended seminal vesicles bilateraly with high
signal on T2 weighted imaging, this dilatation was communication with
the lower rectum via a small tract well demonstrated on sagittal T2
imaging corresponding to a Seminal vesicle-rectal fistula
The patient was treated with oral antibiotics and a pus biological study
was sent to the lab.
Unfortunately we lost contact with the patient after that.
Figure 2 axial T2 pelvic imaging showing a fistula tract between the
anterior wall of the rectum and seminal vesicles (blue arrow)