Diagnostic dilemma of seminal vesicle abscess: A serious case with a nonspecific clinical presentation

Seminal vesicle abscesses are a rare condition, and their diagnosis is challenging with nonspecific clinical presentation. Diagnosis is based on medical imaging (ultrasound, CT scan) and laboratory tests. Treatment involves broad-spectrum antibiotics and abscess drainage. We report the case of a 60-year-old diabetic male who presented with a 15-day history of painful perineal swelling. Imaging studies revealed a seminal vesicle abscess, which was treated with intravenous broad-spectrum antibiotics and surgical drainage. Culture of the pus revealed <i>Escherichia coli</i>. The patient demonstrated a favorable clinical course.