Zinner syndrome diagnosed by magnetic resonance imaging and computed tomography: role of imaging to identify and evaluate the uncommon variation in development of the male genital tract

Fiaschetti, Valeria; Greco, Laura; Giuricin, V.; Vivo, Dominique De; Caprera, E. Di; Trapano, Roberta Di; Castellani, Francesca; Floris, Roberto

doi:10.1016/j.radcr.2016.10.007

Cited by 29 publications

(42 citation statements)

References 13 publications

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“…Differential diagnosis involves several cystic diseases of other pelvic organs, including prostatic utricle cysts, ejaculatory duct cysts, prostatic cysts, diverticula of ampulla of vas deferens, ureteroceles, and abscess. Cyst location and other developmental abnormalities (renal agenesis or anomalies of the external genitalia) help to make the differential diagnosis (4,8).…”

Section: Discussionmentioning

confidence: 99%

“…The clinical manifestations include voiding symptoms (dysuria, frequency, urgency), haematuria, perineal or scrotal pain, recurrent urinary tract infection, epididymitis, prostatitis, painful ejaculation, haematospermia, and infertility. Small cysts in the seminal vesicles, less than 5 cm in size, are usually asymptomatic and often detected incidentally (4,5,6,7). We report ultrasound (US) and magnetic resonance imaging (MRI) findings of this extremely rare developmental anomaly involving the mesonephric duct in a 17-year-old boy who would probably remain undiagnosed until later age.…”

Section: Introductionmentioning

confidence: 96%

“…Zinner's syndrome is a rare embryologic anomaly of the distal portion of the mesonephric duct, responsible for the emergence of the ureteric bud, vas deferens, ejaculatory duct, seminal vesicle, hemitrigone, epididymis and paradidymis, during the 4 th and the 13 th gestational week. The common origin of the mesonephric duct and the ureteric bud, which will form the definitive adult kidney, is responsible for the associated maldevelopment of the genital and urinary tracts, including atresia of the ejaculatory duct, obstruction of the seminal vesicles with formation of cysts and ipsilateral renal agenesis or dysplasia (1,2,3,4). More rarely, the ureteric bud can arise in a more cranial position of the mesonephric duct, leading to a distal ureteric bud with anomalous drainage, for example into the vas deferens, seminal vesicle, ejaculatory duct, bladder neck and urethra.…”

Section: Introductionmentioning

confidence: 99%

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Zinner’s Syndrome: Case Report of a Rare Maldevelopment in the Male Genitourinary Tract

Sousa¹,

Teixeira²,

Ferreira³

et al. 2019

jus

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Zinner sendromu; ipsilateral renal agenezi, seminal vezikül kisti ve ejakülatör kanal obstrüksiyon triadını içeren, mezonefrik kanalın distal kısmında nadir görülen, embriyolojik bir anomalidir. Muhtemelen daha sonraki yaşlara kadar tanı konulmadan kalacak olan 17 yaşındaki asemptomatik bir erkek çocukta, mezonefrik kanalı tutan bu nadir gelişimsel anomalinin ultrason ve manyetik rezonans görüntüleme bulgularını sunuyoruz. Spesifik bir semptomu bulunmayan hastaya, görüntülenme muayenelerinde tesadüfen tanı konulmuştur.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Zinner’s Syndrome: Case Report of a Rare Maldevelopment in the Male Genitourinary Tract

Sousa¹,

Teixeira²,

Ferreira³

et al. 2019

jus

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“…Both CT and MRI allow to properly investigating renal and seminal vesicles anomalies, which are often combined. MRI exceeds CT in studying abdomen and pelvis not only for the absence of ionizing radiation but also for its imaging capability and soft tissue contrast which are crucial features in the assessment of relations between pelvic organs and structures [11] . In our patient, we performed both transabdominal US and pelvic MRI.…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic Zinner's Syndrome Diagnosed during the Sixth Decade of Life: Case Report and Review of the Literature

Cerruto¹,

Alberto²,

Tafuri³

et al. 2017

J Anesth Surg

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A 61 year-old male with a history of metabolic syndrome (hypertension, obesity, dyslipidemia), left kidney agenesia, compensatory hypertrophy and previous stone disease of the contralateral kidney, was sent by his general practitioner to our department because the incidental diagnosis of left seminal vesicle cyst lesion, not documented in the previous annual ultrasound control. He was father of 2 children and did not complain any lower urinary tract symptoms (LUTS) with a satisfied sexual life. He had a previous history negative for urinary tract infections (UTIs), dysuria, hematuria, ejaculatory pain, prostatitis, epididymitis. The examination revealed a patient in good general condition with body mass index of 29.07. The abdomen was soft with no palpable mass. Digital rectal examination was a normal prostate according with age. Laboratory tests including urine culture and PSA showed no abnormality. Transabdominal ultrasound scan (US) confirmed left kidney agenesia with compensatory hypertrophy and revealed for the first time (not doc- Copyrights 97 Case ReportOpen AccessUrology Clinic, Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Italy AbstractSeminal vesicle cysts combined with genitourinary anomalies, named since 1914 Zinner's syndrome, are rare. We present a case of asymptomatic 61-year-old married man, with known left kidney agenesia and a previous ultrasound history negative for vesicle cyst since one year before. Digital rectal examination was normal. Diagnostic imaging (both ultrasound and magnetic resonance imaging) showed left seminal vesicle cyst without any intravesical protrusion. In the absence of symptoms, a conservative treatment was decided, with a strict clinical and ultrasonographic follow-up. The diagnosis of Zinner's syndrome was made later, by ultrasound and magnetic resonance imaging, with the development of multilocular seminal vesicle cystic lesion, with a rapid onset (within one year). This malformation should be considered in the differential diagnosis of a pelvic cyst in male patients with renal agenesis. So far, the patient was asymptomatic and had never presented with dysuria, signs of bladder obstruction or urinary tract infection. He had neither any perineal discomfort nor pain; he described normal ejaculation without pain, no hematospermia, and had never experimented any urinary infection or prostatitis. He also had a normal sexual activity. In this particular case, in the absence of symptoms a conservative treatment was decided, with a strict clinical and transrectal US follow-up, at least until

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“…Het syndroom ontstaat door een aberrante vorming van de ductus mesonephricus (buizen van Wolff) en de afwezigheid van de ureterknop ten tijde van de embryogenese. Dit leidt tot ipsilaterale nieragenesie en obstructie van de ductus ejaculatorius, welke uiteindelijk leidt tot dilatatie van de vesicula seminalis [2,3]. Het syndroom komt wereldwijd voor bij 0,0046% van de mannen [4].…”

Section: Introductieunclassified

Case report. Zinner-syndroom: een zeldzame oorzaak van agenesie van de nier

et al. 2020

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Samenvatting De trias nieragenesie, ipsilaterale retentiecyste van de vesicula seminalis en obstructie van de ductus ejaculatorius is een zeldzaam syndroom, dat in 1914 voor het eerst werd beschreven door dr. Zinner. Het syndroom ontstaat doordat tijdens de embryogenese een aberrante ductus mesonephricus (buis van Wolff) ontstaat en geen ureterknop wordt gevormd. Dit leidt tot ipsilaterale nieragenesie en obstructie van de ductus ejaculatorius, welke uiteindelijk leidt tot dilatatie van de vesicula seminales. De diagnose wordt meestal bij toeval gesteld, hoewel patiënten zich ook kunnen presenteren met klachten, zoals dysurie, frequency, urgency, hematurie/ hematospermie, scrotalgie en pijn bij ejaculatie. De diagnose wordt gesteld op basis van diverse beeldvormende technieken, waarbij de MRI-scan vaak het sluitende bewijs geeft. Dit case report het diagnose-en behandeltraject bij drie patiënten. Daarnaast wordt een overzicht van de embryologie en huidige stand van zaken binnen de beeldvorming en behandeling van het Zinner-syndroom gegeven. Trefwoorden Zinner-syndroom • nieragenesie • cyste vesicula seminalis Case report. Zinner syndrome: rare cause of agenesis of the kidney Abstract The trias of renal agenesis, unilateral cyst of the vesicula and obstruction of the ductus ejaculatorius is a rare syndrome which was first described drs. M. J. te Dorsthorst () • dr. M. R. van Balken afdeling Urologie,

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Zinner syndrome diagnosed by magnetic resonance imaging and computed tomography: role of imaging to identify and evaluate the uncommon variation in development of the male genital tract

Cited by 29 publications

References 13 publications

Zinner’s Syndrome: Case Report of a Rare Maldevelopment in the Male Genitourinary Tract

Zinner’s Syndrome: Case Report of a Rare Maldevelopment in the Male Genitourinary Tract

Asymptomatic Zinner's Syndrome Diagnosed during the Sixth Decade of Life: Case Report and Review of the Literature

Case report. Zinner-syndroom: een zeldzame oorzaak van agenesie van de nier

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