UNILATERAL EJACULATORY DUCT OBSTRUCTION: A CASE STUDY OF ZINNER'S SYNDROME

S ASLAM; M NASREEN; A HAMEED

doi:10.54112/bcsrj.v2023i1.628

Authors

S ASLAM Department of Radiology, Multan Institute of Kidney Diseases, Pakistan
M NASREEN Department of Radiology, Mukhtar A Sheikh Hospital, Multan, Pakistan
A HAMEED Department of Urology, Multan Institute of Kidney Diseases, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.628

Keywords:

Zinner's Syndrome, Congenital Anomaly, Unilateral Ejaculatory Duct Obstruction, Renal Agenesis

Abstract

Zinner’s syndrome is a rare congenital mesonephric (Wolffian) duct anomaly due to developmental arrest in early embryogenesis, comprising unilateral ejaculatory duct obstruction or agenesis, ipsilateral seminal vesicle cysts, and ipsilateral renal agenesis. Here, we present a case of a healthy 17-year-old male in Pakistan presenting with complaints of mild, dull pain in the left lower abdomen. He had no history of lower urinary tract symptoms and regular bowel habits. Imaging revealed non-visualization of the left kidney with multi-cystic pelvic mass related to the left seminal vesicle in keeping with the diagnosis of Zinner’s syndrome.

Downloads

Download data is not yet available.

References

AlArifi, M., Al-Gahwary, M., and Gomha, M. (2019). The association of renal agenesis and ipsilateral seminal vesicle cyst: Zinner syndrome case report. Case Reports in Urology 2019.

Coplen, D. E., and Duckett, J. W. (1995). The modern approach to ureteroceles. The Journal of urology 153, 166-171.

Florim, S., Oliveira, V., and Rocha, D. (2018). Zinner syndrome presenting with intermittent scrotal pain in a young man. Radiology case reports 13, 1224-1227.

Gevenois, P.-A., Van Sinoy, M.-L., Sintzoff Jr, S., Stallenberg, B., Salmon, I., Van Regemorter, G., and Struyven, J. (1990). Cysts of the prostate and seminal vesicles: MR imaging findings in 11 cases. AJR. American journal of roentgenology 155, 1021-1024.

Ibrahimi, A., Hosni, A., Ziani, I., Laamrani, F. Z., El Sayegh, H., Jroundi, L., Benslimane, L., and Nouini, Y. (2020). Zinner’s syndrome: a rare diagnosis of dysuria based on imaging. Case Reports in Urology 2020.

Khanduri, S., Katyal, G., Sharma, H., Goyal, A., Singh, N., and Yadav, H. (2017). Unique association of multiple seminal vesicle cysts with contralateral renal agenesis: a rare variant of Zinner syndrome. Cureus 9.

Kuo, J., Foster, C., and Shelton, D. (2011). Zinner′ s syndrome. World Journal of Nuclear Medicine 10, 20-22.

Monzo, J., and JM, D. C. (2005). Primary seminal vesicle abscess: diagnosis and treatment by transrectal ultrasound. Actas Urologicas Espanolas 29, 523-525.

Pollack, H., and McClennan, B. Philadelphia: Saunders; 2000. Clinical urography, 804-21.

Van den Ouden, D., Blom, J., Bangma, C., and De Spiegeleer, A. (1998). Diagnosis and management of seminal vesicle cysts associated with ipsilateral renal agenesis: a pooled analysis of 52 cases. European urology 33, 433-440.

Zinner, A. (1914). Ein fall von intravesikaler Samenblasenzyste. Wien Med Wochenschr 64, e9.