Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2017 Jul 1;9(7):e1415.
doi: 10.7759/cureus.1415.

Unique Association of Multiple Seminal Vesicle Cysts with Contralateral Renal Agenesis: A Rare Variant of Zinner Syndrome

Sachin Khanduri  1 , Gaurav Katyal  1 , Hritik Sharma  1 , Aakshit Goyal  1 , Nikita Singh  2 , Harsh Yadav  2
Affiliations
Case Reports

Unique Association of Multiple Seminal Vesicle Cysts with Contralateral Renal Agenesis: A Rare Variant of Zinner Syndrome

Sachin Khanduri et al. Cureus. .

Abstract

Zinner syndrome is a rare developmental anomaly of the Wolffian (mesonephric) duct which is characterised by a triad of obstruction of the ejaculatory duct, the ipsilateral seminal vesicle cyst, and the ipsilateral renal agenesis. The aim of this case report is to emphasize the importance of radiological imaging in diagnosing the condition and to report its rare unusual variant.

Keywords: contralateral renal agensis; ejaculatory duct obstruction; infertility; male counterpart of mayer-rokitansky-kuster-hauser; multiple seminal vesicle cysts; renal agenesis; zinner syndrome.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Ultrasonogram axial images
In the left image, the white arrow demonstrates a bulky left-seminal vesicle whereas the right image shows an empty right renal fossa with compensatory hypertrophy of the left kidney. No ectopic kidney was found.
Figure 2
Figure 2. Transrectal ultrasonogram axial images
The right and left images demonstrate multiple well-defined rounded hypoechoic lesions with echogenic debri within suggestive of left-sided seminal vesicle cysts with debris; the right-sided seminal vesicle is not visualised and is likely hypoplastic.
Figure 3
Figure 3. Coronal computer tomography images
Maximum intensity projection (MIP), volume rendering technique (VRT), and multiplanar reconstruction (MPR) coronal images demonstrate an absent right kidney (white circle) with compensatory hypertrophy of the left kidney. The delayed MPR images show a normal course of the left ureter. No ectopic kidney was found.
Figure 4
Figure 4. Axial and coronal multiplanar reconstruction (MPR) abdomen images
The right and left images demonstrate a bulky left-seminal vesicle with multiple well-defined, non-enhancing lesions (white arrow). The right-seminal vesicle is hypoplastic.
See this image and copyright information in PMC

References

    1. Zinner's syndrome: an up-to-date review of the literature based on a clinical case. Pereira BJ, Sousa L, Azinhais P, et al. Andrologia. 2009;41:322–330. - PubMed
    1. Zinner syndrome-a rare developmental anomaly of the mesonephric duct diagnosed on magnetic resonance imaging. Mehra S, Ranjan R, Garga UC. J Radiol Case Rep. 2016;11:2016–2011. - PMC - PubMed
    1. Unilateral renal agenesis associated with congenital bilateral absence of the vas deferens: phenotypic findings and genetic considerations. Mccallum TJ, Milunsky JM, Munarriz R, Carson R, Sadeghi-Nejad H, Oates RD. ‎Hum Reprod. 2001;16:282–288. - PubMed
    1. A large seminal vesicle cyst with contralateral renal agenesis. Kosan M, Tul M, Inal G, Ugurlu O, Adsan O. Int Urol Nephrol. 2006;38:591–592. - PubMed
    1. Giant seminal vesicle cyst causing ipsilateral hydronephrosis with contralateral renal agenesis. El-Assmy A, Abou-El-Ghar ME. Urology. 2012;79:0. - PubMed

Publication types

LinkOut - more resources