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Case Reports
. 2010 Jul;26(3):444-7.
doi: 10.4103/0970-1591.70592.

Zinner syndrome: A unique triad of mesonephric duct abnormalities as an unusual cause of urinary symptoms in late adolescence

Nitin P Ghonge  1 , Bharat Aggarwal, Amit Kumar Sahu
Affiliations
Case Reports

Zinner syndrome: A unique triad of mesonephric duct abnormalities as an unusual cause of urinary symptoms in late adolescence

Nitin P Ghonge et al. Indian J Urol. 2010 Jul.

Abstract

The present article reports a triad of right renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction (Zinner syndrome) in a 19-year boy who presented with urinary symptoms. A detailed review of the relevant literature is also presented.

Keywords: Ejaculatory duct obstruction; Zinner syndrome; mesonephric duct abnormality; seminal vesicle cyst.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
(a) Trans-rectal ultrasound transverse image showing a large cyst (*) with internal echoes in the region of right seminal vesicle. (b) Trans-rectal ultrasound parasagittal image showing a large cyst (*) with internal echoes in the region of right seminal vesicle. Gross dilatation of the proximal part of right seminal vesicle is also seen (arrow). P, prostate; UB, urinary bladder
Figure 2
Figure 2
(a) High-frequency ultrasound longitudinal image of right spermatic cord showing dilatation of the right vas deferens in the region of right inguinal canal. (b) High-frequency ultrasound longitudinal image of right scrotal sac showing dilated seminiferous tubules along the complete length of epididymis (arrow). H, head; B, body; T, tail of epididymis; Tes, right testis
Figure 3
Figure 3
(a) Abdominal MRI T2-weighted axial image acquired using TSE sequence showing a large thick-walled cyst in right seminal vesicle with hyperintense contents and presence of fluid–fluid level within (arrow). (b) Abdominal MRI T1-weighted axial image acquired through a more cranial level showing hyperintense contents in the proximal part of dilated right seminal vesicle (arrow). (c) STIR coronal MRI showing continuity of cyst (short broad arrow) with the right seminal vesicle (long thin arrow). P, prostate; R, rectum; UB, urinary bladder
See this image and copyright information in PMC

References

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