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Case Reports
. 2017 Feb 15;3(2):20160094.
doi: 10.1259/bjrcr.20160094. eCollection 2017.

Zinner syndrome: an unusual cause of bladder outflow obstruction

Sonali Shah  1 , Ramesh Patel  2 , Rakesh Sinha  2 , Maya Harris  3
Affiliations
Case Reports

Zinner syndrome: an unusual cause of bladder outflow obstruction

Sonali Shah et al. BJR Case Rep. .

Abstract

Zinner syndrome is a rare condition comprising a triad of unilateral renal agenesis, ipsilateral seminal vesicle obstruction and ipsilateral ejaculatory duct obstruction. The mutual embryological origins of the seminal vesicle and the ureteral bud result in both anomalous genital and urinary tracts. We present the case of a 39-year-old patient where the initial presentation of this condition was bladder outflow obstruction. In this paper, we discuss the embryological origin of this condition, the range of imaging tools used to diagnose Zinner syndrome and the inherent benefits and shortcomings of each modality.

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Figures

Figure 1.
Figure 1.
CT coronal view showing hypoplastic right kidney and dilated left ureter and mild hydronephrosis.
Figure 2.
Figure 2.
Axial T2 weighted MRI image showing thickened bladder and dilated, cystic right ureteric bud.
Figure 3.
Figure 3.
Coronal T2 weighted MRI image showing thickened bladder (B), cystic right ureteric bud opening in the bladder (arrow) and dilated seminal vesicle (S).
Figure 4.
Figure 4.
Coronal T2 weighted MRI image showing seminal vesicle cyst causing occlusion of bladder neck.
Figure 5.
Figure 5.
Axial T2 weighted MRI image showing dilated, tortuous seminal vesicle.
Figure 6.
Figure 6.
Sagittal T2 weighted MRI image showing dilated left ureter.
See this image and copyright information in PMC

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References

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