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)
Summary
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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