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. 2021 Aug;94(Suppl No 1):S47-S50.
doi: 10.15386/mpr-2229. Epub 2021 Aug 10.

Zinner syndrome - case report

Valentin Militaru  1   2 , Zoltan Attila Mihaly  3 , Catalin Ilea  4 , Mihaela Coman  5 , Mihaela Stanciu  5 , Nicolae Crisan  3   6 , Ioan Coman  6
Affiliations

Zinner syndrome - case report

Valentin Militaru et al. Med Pharm Rep. 2021 Aug.

Abstract

We present the case of a 51-year-old male with Zinner syndrome, which is a rare disease, resulting from an abnormal evolution of the mesonephric (Wolffian) duct. It consists in cystic dilations of one seminal vesicle and/or ejaculatory duct and ipsilateral renal agenesis. It leads to symptoms related to urination, ejaculation, even infertility, and to low-abdomen and perineal pain. The diagnosis is set by ultrasonography, CT scan and, mainly, MRI. Usually it is treated conservatively, but certain cases require surgery, nowadays minimally invasive.

Keywords: rare disease; renal agenesis; seminal vesicles.

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Figures

Figure 1
Figure 1
Transverse section through the prostate, showing a cyst-like lesion.
Figure 2
Figure 2
Sagittal section through the prostate, showing a dilation of the left ejaculatory duct.
Figure 3
Figure 3
Endorectal ultrasonographic section through the prostate, showing the dilation of the ejaculatory duct.
Figure 4
Figure 4
A. Left renal agenesis (the yellow arrow points to the left renal region). B. Cyst-like lesion on an axial section through the prostate (red arrow). C. The left seminal vesicle has a cystic structure (yellow arrow), but a lower volume compared to the right one, which has normal volume and structure (blue arrow).
Figure 5
Figure 5
A and B – axial sections through the prostate, showing a T1 hypersignal tubular lesion communicating with the left seminal vesicle (dilated left ejaculatory duct). C. Sagittal section through the dilated ejaculatory duct, displaying fluid-fluid level. Yellow arrows point to the dilated duct.
See this image and copyright information in PMC

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