A RARE CASE OF URINARY IMAGING TOWARDS ZINNER SYNDROME AT 103 MILITARY HOSPITAL
Main Article Content
Abstract
Introduction: Zinner’s syndrome is a rare congenital anomaly characterized by ipsilateral renal agenesis and seminal vesicle cysts. This case is among the few reported instances in Vietnam.
Case Presentation: A 28-year-old male patient underwent a general health check-up at the Military Hospital 103. Ultrasound findings revealed the absence of the right kidney in the renal fossa and abdominal cavity, along with a cystic mass located in the right hypogastric region. Abdominal computed tomography confirmed right renal agenesis and a right seminal vesicle cyst measuring 30 × 80 mm, consistent with a diagnosis of Zinner’s syndrome. The patient was advised periodic monitoring and follow-up.
Conclusion: The integration of medical history, clinical examination, and diagnostic imaging facilitates accurate diagnosis and patient management. Regular monitoring for urological symptoms and timely surgical intervention when symptoms arise are essential in the management of Zinner’s syndrome.
Keywords
Renal agenesis, Zinner’s syndrome
Article Details
References
2. Livingston, L. and C.R. Larsen, Seminal vesicle cyst with ipsilateral renal agenesis. American Journal of Roentgenology, 2000. 175 (1): p. 177-180.
3. Pace, G., et al., Ejaculatory duct obstruction caused by a right giant seminal vesicle with an ipsilateral upper urinary tract agenesia: an embryologic malformation. Fertility and sterility, 2008. 89(2): p. 390-394.
4. Pereira, B., et al., Zinner’s syndrome: an up‐to‐date review of the literature based on a clinical case. Andrologia, 2009. 41 (5): p. 322-330.
5. Bas, D. and M.O. Nalbant, Zinner Syndrome: Radiologic Diagnosis in a Rare Case. Current Medical Imaging, 2023.
6. Ghonge, N.P., B. Aggarwal, and A.K. Sahu, Zinner syndrome: A unique triad of mesonephric duct abnormalities as an unusual cause of urinary symptoms in late adolescence. Indian journal of urology: IJU: journal of the Urological Society of India, 2010. 26 (3): p. 444.
7. Adeniji, A.O., Congenital seminal vesicle cyst with ipsilateral renal agenesis, vascular anomalies and intestinal malrotation. Applied Radiology, 2009. 38 (10): p. 40A.
8. La Scola, C., et al., Born with a solitary kidney: at risk of hypertension. Pediatric Nephrology, 2020. 35: p. 1483-1490.
9. Cherullo, E.E., et al., Laparoscopic management of congenital seminal vesicle cysts associated with ipsilateral renal agenesis. The Journal of urology, 2002. 167 (3): p. 1263-1267.
10. Mehra, S., R. Ranjan, and U.C. Garga, Zinner syndrome-a rare developmental anomaly of the mesonephric duct diagnosed on magnetic resonance imaging. Radiology case reports, 2016. 11 (4): p. 313-317.
11. Trigaux, J.P., B. Van Beers, and F. Delchambre, Male genital tract malformations associated with ipsilateral renal agenesis: sonographic findings. Journal of clinical ultrasound, 1991. 19 (1): p. 3-10.
12. Abakar, D., et al., Zinner syndrome. European Journal of Case Reports in Internal Medicine, 2021. 8 (6): p. 002628.
13. Kenney, P. and M. Leeson, Congenital anomalies of the seminal vesicles: spectrum of computed tomographic findings. Radiology, 1983. 149 (1): p. 247-251.
14. Shebel, H.M., et al., Cysts of the lower male genitourinary tract: embryologic and anatomic considerations and differential diagnosis. Radiographics, 2013. 33 (4): p. 1125-1143.