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

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 hyp...

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Bibliographic Details
Published in:Case reports in urology 2020, Vol.2020 (2020), p.1-6
Main Authors: Nouini, Yassine, Jroundi, Laila, El Sayegh, Hachem, Laamrani, Fatima Zahra, Ziani, Idriss, Hosni, Abdelmoughit, Ibrahimi, Ahmed, Benslimane, Lounis
Format: Article
Language:English
Subjects:
Asymptomatic
Bladder
Case Report
Case reports
Cysts
Hemorrhage
Infertility
Laparoscopy
Magnetic resonance imaging
Medical imaging
Patients
Ultrasonic imaging
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Summary: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.
ISSN:2090-696X
2090-6978
DOI:10.1155/2020/8826664