Zinner Syndrome: Left Unilateral Renal Dysgenesis with Seminal Vesicle Cyst and Ipsilateral Testicular Atrophy Associated with Azoospermia - Case Report

Abstract

Seminal vesicular cysts associated with ipsilateral renal agenesis or hypoplasia are a rare urological abnormality. This combination of urinary and genital abnormalities occurs due to the closely related embryological origin of these structures from the distal mesonephric duct [Wolff]. This case illustrates the discovery of this malformation in adulthood following chronic pelvic pain associated with infertility. The diagnostic approach consisted of a clinical examination with the performance of a set of imaging examinations including a suprapubic ultrasound, a scanner and an MRI. While the therapeutic management was limited to an ultrasound-guided evacuating puncture of the cyst of the seminal vesicle with a bacteriological and histological analysis of the puncture liquid. Given the complexity of the case, our surgical treatment is mainly aimed at relieving pain by evacuating puncture and offering medically assisted procreation for her infertility. We report the case of a young patient with Zinner's syndrome associated with infertility.