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Case Reports
. 2020 Dec 9:2020:8826664.
doi: 10.1155/2020/8826664. eCollection 2020.

Zinner's Syndrome: A Rare Diagnosis of Dysuria Based on Imaging

Ahmed Ibrahimi  1   2 , Abdelmoughit Hosni  2   3 , Idriss Ziani  1   2 , Fatima Zahra Laamrani  2   3 , Hachem El Sayegh  1   2 , Laila Jroundi  2   3 , Lounis Benslimane  1   2 , Yassine Nouini  1   2
Affiliations
Case Reports

Zinner's Syndrome: A Rare Diagnosis of Dysuria Based on Imaging

Ahmed Ibrahimi et al. Case Rep Urol. .

Abstract

Zinner's syndrome is a rare congenital malformation of the seminal vesicle and ipsilateral upper urinary tract, due to developmental arrest in early embryogenesis of the Müllerian duct. Clinical presentation is nonspecific and includes voiding symptoms such as dysuria, ejaculatory disorders, and hypogastric or perineal pain. The diagnosis is made with imaging techniques, notably Magnetic Resonance Imaging (MRI) which remains the gold standard exam for diagnosis confirmation and therapeutic management. Treatment options depend on the severity of symptoms, the size of the cyst, and the complications. Herein, we report a rare case of a 33-year-old young patient who presented recurrent dysuria and ejaculatory disorders for the last 5 years. Imaging studies revealed an empty left renal fossa, with cystic pelvic mass related to the seminal vesicle and which was compatible with the diagnosis of Zinner's syndrome. The patient underwent successful laparoscopic removal of the cyst and seminal vesicle, with total disappearance of urinary and sexual complaints with a 3-year follow-up.

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Conflict of interest statement

The authors declare that there is no conflict of interest regarding the publication of this article.

Figures

Figure 1
Figure 1
Transrectal ultrasonography showing a large left retrovesical cyst compressing the urinary bladder and protruding into the bladder lumen.
Figure 2
Figure 2
(a) Axial view of CT scan showing a single right kidney with empty left renal fossa; (b) CT scan of the pelvis revealing a homogeneous liquid mass retrovesical compressing the urinary bladder and protruding into the bladder lumen.
Figure 3
Figure 3
MRI coronal image in the T2-weighted sequence showing a seminal vesicle lesion which is separated from the prostate by its capsule.
Figure 4
Figure 4
MRI axial superposed images on the seminal vesicle cyst in the T1-weighted sequence. Yellow arrow showing the tubular structure linked to the seminal vesicle cyst considered an ectopic ureter.
Figure 5
Figure 5
MRI coronal slices showing the communication between the seminal vesicle cyst and ectopic ureter.
Figure 6
Figure 6
(a, b) Urethrocystoscopy showing a large intraluminal protruding mass at the left lateral trigonal area and partially obstructing the bladder neck.
See this image and copyright information in PMC

References

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