Abstract

The presence of a renal agenesis with an ipsilateral seminal vesicle cyst and an ejaculatory duct obstruction is a rare congenital anomaly initially reported by Zinner in 1914. This anomaly can be responsible of perineal pain, hemospermia, hematuria, post-ejaculatory pain, urinary tract infection, infertility and lower urinary tract symptoms (LUTS).

Highlights

  • The presence of a renal agenesis with an ipsilateral seminal vesicle cyst and an ejaculatory duct obstruction is a rare congenital anomaly initially reported by Zinner in 1914 [1]

  • We present a case of a laparoscopic en bloc resection of the left kidney, ureter and seminal vesicle in a 17 years old boy presenting a variant of Zinner syndrome with the left ureter draining in the ipsilateral seminal vesicle

  • The diagnosis was made by an abdominopelvic MRI after persistent fever and lower urinary tract symptoms (LUTS) (Figure 1)

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Summary

Introduction

The presence of a renal agenesis with an ipsilateral seminal vesicle cyst and an ejaculatory duct obstruction is a rare congenital anomaly initially reported by Zinner in 1914 [1]. It is well established that in case of symptomatology, surgery is the treatment of choice. We present a case of a laparoscopic en bloc resection of the left kidney, ureter and seminal vesicle in a 17 years old boy presenting a variant of Zinner syndrome with the left ureter draining in the ipsilateral seminal vesicle. Department of pediatric urology, Queen Fabiola Children's University Hospital, Université libre de Bruxelles, Belgium

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