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Int J Fertil Steril. 2015 Apr-Jun;9(1):137-40. doi: 10.22074/ijfs.2015.4218. Epub 2015 Apr 21.

Microlithiasis of Seminal Vesicles and Severe Oligoasthenospermia in Pulmonary Alveolar Microlithiasis (PAM): Report of An Unusual Sporadic Case.

International journal of fertility & sterility

Giuseppe Castellana, Domenico Carone, Marco Castellana

Affiliations

  1. District Health Center, ASL BA, via de Amicis, Conversano (70014), Bari, Italy.
  2. Center of Human Reproduction and Andrology (CREA), Via Scoglio del Tonno 79/81, Taranto (74120), Italy.
  3. University of Bari, Piazza Giulio Cesare 11, Bari (70124), Italy.

PMID: 25918602 PMCID: PMC4410032 DOI: 10.22074/ijfs.2015.4218

Abstract

Pulmonary alveolar microlithiasis (PAM) is classified as an elective dysmetabolic thesaurotic pneumoalveolitis and characterized by the presence within the alveoli of the lungs of myriad of tiny calculi. The classic presentation of the chest radiography is unmistakable with multiple small "sand-like" opacities diffusely involving both lung fields. We present a case of male infertility for hypoposia and severe oligoasthenospermia in a young patient with recurrent haematuria and small calcifications in the seminal vesicles similar to pulmonary microliths. PAM was diagnosed on routine chest radiography, com- puter tomography (CT), transbronchial biopsy and bronchoalveolar lavage (BAL).

Keywords: Infertility; Microlithiasis; Oligoasthenospermia; Pulmonary Alveolar Microlithiasis; Seminal Vesicles

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