Zinner Syndrome with Ectopic Ureter Emptying into Seminal Vesicle

A 66-year-old male patient in follow-up in the urology department for a non-muscle-invasive bladder cancer was detected by ultrasound to have absence of the left kidney and a cystic, multilobed image at the location of the seminal vesicle. Magnetic resonance imaging reveals left renal agenesis and t...

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Published in:Case reports in urology 2021, Vol.2021, p.8834127-4
Main Authors: Hevia Palacios, M., Álvarez-Maestro, M., Gómez Rivas, J., Aguilera Bazan, A., Martínez-Piñeiro, L.
Format: Article
Language:English
Subjects:
Asymptomatic
BCG
BCG vaccines
Bladder
Bladder cancer
Case Report
Case reports
Cysts
Genetic disorders
Infertility
Magnetic resonance imaging
Patients
Pelvis
Ultrasonic imaging
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description A 66-year-old male patient in follow-up in the urology department for a non-muscle-invasive bladder cancer was detected by ultrasound to have absence of the left kidney and a cystic, multilobed image at the location of the seminal vesicle. Magnetic resonance imaging reveals left renal agenesis and the existence of multiple cysts in the ipsilateral seminal vesicle that reaches a size of 6.9×3.7 cm, as well as a ureteral remnant that opens into the seminal vesicle. The patient does not present urinary symptoms, neither pain with ejaculation nor hematuria. A triad of seminal vesicle cyst, ipsilateral renal agenesis, and ipsilateral ejaculatory duct obstruction is known as Zinner syndrome. Congenital anomalies of the seminal vesicles are rare; some of them are associated with malformations of the upper urinary system. Seminal vesicle cysts are associated with ipsilateral renal agenesis and ectopic or dysplastic ureter. Patients may remain asymptomatic and be diagnosed incidentally or may present with symptoms such as increased urinary frequency, dysuria, recurrent infections, pain with ejaculation, and perineal discomfort.
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source Wiley Online Library Open Access; Publicly Available Content Database; PubMed Central
subjects Asymptomatic
BCG
BCG vaccines
Bladder
Bladder cancer
Case Report
Case reports
Cysts
Genetic disorders
Infertility
Magnetic resonance imaging
Patients
Pelvis
Ultrasonic imaging
title Zinner Syndrome with Ectopic Ureter Emptying into Seminal Vesicle
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