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
. 2019 Jun 23:2019:1242149.
doi: 10.1155/2019/1242149. eCollection 2019.

The Association of Renal Agenesis and Ipsilateral Seminal Vesicle Cyst: Zinner Syndrome Case Report

Mishal AlArifi  1 , Magdi Al-Gahwary  2 , Mohamed Gomha  2
Affiliations
Case Reports

The Association of Renal Agenesis and Ipsilateral Seminal Vesicle Cyst: Zinner Syndrome Case Report

Mishal AlArifi et al. Case Rep Urol. .

Abstract

Introduction: Zinner syndrome is a rare congenital malformation characterized by the association of an ipsilateral renal agenesis, ipsilateral seminal vesicle cyst, and ipsilateral ejaculatory duct obstruction. This case is one of the first to be reported in the Kingdom of Saudi Arabia.

Case presentation: A 20-year-old Saudi male patient presented complaining of chronic left groin pain radiating to the left testis and the medial aspect of the left thigh for the last 6 years. Patient is also complaining of painful ejaculation with no history of lower urinary tract symptoms, hematuria, or trauma. Physical examination was unremarkable. Ultrasound (US) report from the referring hospital mentioned that there is a left pelvic mass. Computed tomography (CT) and magnetic resonance imaging (MRI) showed diffuse distension of left seminal vesicle (9 X 7 cm) cyst with ipsilateral left renal agenesis which corresponds to Zinner syndrome. Left seminal vesicle cyst excision through a low midline incision was done. The patient was asymptomatic during his follow-up in our clinic with disappearance of the pain.

Conclusion: The combination of a good clinical history and radiological assays aided in making the diagnosis. Surgical intervention is the mainstay in the management plan in symptomatic patients.

PubMed Disclaimer

Figures

Figure 1
Figure 1
(a) MRI sagittal section T2, (b) MRI coronal section T2, (c) MRI sagittal section T1, and (d) MRI axial section T1. (a)-(b) showed diffuse dilatation of left seminal vesicles with low signal intensity, and (c)-(d) showed diffuse dilatation of left seminal vesicles with high signal intensity.
Figure 2
Figure 2
(a) CT axial section showed left renal agenesis. (b) MRI coronal section showed left renal agenesis.
See this image and copyright information in PMC

References

    1. Zinner A. Ein fall von intravesikaler Samenblasenzyste. Wiener Medizinische Wochenschrift. 1914;64, article 605
    1. Khanduri S., Katyal G., Sharma H., et al. Unique association of multiple seminal vesicle cysts with contralateral renal agenesis: a rare variant of zinner syndrome. Cureus. 2017;9(7, article e1415) - PMC - PubMed
    1. Mehra S., Ranjan R., Garga U. C. Zinner syndrome—a rare developmental anomaly of the mesonephric duct diagnosed on magnetic resonance imaging. Radiology Case Reports. 2016;11(4):313–317. doi: 10.1016/j.radcr.2016.04.002. - DOI - PMC - PubMed
    1. Farooqui A., AlDhahir L., Mahfooz A. B. Massive seminal vesicle cyst with ipsilateral renal agenesis - Zinner syndrome in a Saudi patient. Urology Annals. 2018;10(3):333–335. doi: 10.4103/UA.UA_17_18. - DOI - PMC - PubMed
    1. Slaoui A., Regragui S., Lasri A., et al. Zinner's syndrome: report of two cases and review of the literature. Basic and Clinical Andrology. 2016;26(10) - PMC - PubMed

Publication types

LinkOut - more resources