Left Ejaculatory Duct Calculus Causing Hemospermia in a Young Male: X-ray and Magnetic Resonance Imaging Findings

Hemospermia, also called as haematospermia is a relatively common urological condition among adult and sexually active men. However its exact prevalence is unknown. Hemospermia is prevalent in young males with a mean age of 37 years [1-5]. Urogenital inflammation and infection are often considered the most common cause of hemospermia in this group [6]. Ejaculatory duct stones are uncommon cause of hemospermia. Diagnosis of ejaculatory duct stones can be done by trans-rectal ultrasonography (TRUS). However magnetic resonance imaging (MRI) is more reliable and accurate in diagnosing ejaculatory duct stones and may sometimes also give an insight into the pathology. Herein we describe MRI findings in a case of left ejaculatory duct calculus causing hemospermia in a young male.