Massive seminal vesicle cyst with ipsilateral renal agenesis - Zinner syndrome in a Saudi patient

Abstract

Zinner syndrome is a rare male genitourinary tract disorder associated with seminal vesicle cysts and ipsilateral renal agenesis. Clinical presentation often involves symptoms of the genitourinary tract. We present a case report of a young Saudi male, presenting with nonspecific symptoms of fatigue and malaise. Ultrasound visualized a massive seminal vesicle cyst associated with ipsilateral renal agenesis. The cyst was managed using a laparoscopic technique without any immediate complications and an uneventful postoperative period.

Keywords: Laparoscopic surgery; Zinner syndrome; renal agenesis; seminal vesicle cyst; urology.

Figure 1

Ultrasound abdomen demonstrating a large midline heterogeneous pelvic cyst measuring 11.5 cm × 9 cm × 9.5 cm, with a smooth wall, anterior to the urinary bladder causing mass effect

Figure 2

Magnetic resonance imaging T2-weighted axial image: 11 cm × 9 cm × 9.5 cm well-defined smooth outline wall cystic lesion, sitting posterior to the bladder, and causing mass effect. It shows different heterogeneous internal contents of intermediate high T2 signal and intermediate T1 signal

Figure 3

Magnetic resonance imaging T2 sagittal image: A cystic lesion with direct communication to midline and left paramidline aspect of prostate through small neck and compressing the seminal vesicles