Zinner’s syndrome. Clinical case

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详细

Zinner’s syndrome refers to rare malformations and is characterized by a triad of signs - unilateral renal agenesis, obstruction of the vas deferens, and cystic transformation of the seminal vesicle. A description of a clinical case of Zinner’s syndrome with an atypical clinical picture is presented. This observation indicates the need for an in-depth examination of the genital organs in men with renal agenesis.

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作者简介

Sergey Bokovoi

Northern State Medical University

Email: sepalbok@mail.ru
ORCID iD: 0000-0003-3800-4130
http://www.nsmu.ru/consult-policl/consult/urolog.php

MD, Cand. Sci. (Med.), assistant professor of the Department of Surgery, Course of Urology

俄罗斯联邦, Arkhangelsk

Yurii Zverev

Arkhangelsk Regional Clinical Hospital

Email: zverevya@aokb.ru

head of the Urological Division

俄罗斯联邦, 292 Lomonosova av., Arhangelsk 163045

Olga Perfileva

Arkhangelsk Regional Clinical Hospital

Email: sepalbok@mail.ru

urologist

俄罗斯联邦, 292 Lomonosova av., Arhangelsk 163045

Maria Bobyleva

Arkhangelsk Regional Clinical Hospital

编辑信件的主要联系方式.
Email: bobylevamn@aokb.ru

urologist

俄罗斯联邦, 292 Lomonosova av., Arhangelsk 163045

参考

  1. Juho YC, Wu ST, Tang SH, et al. An unexpected clinical feature of Zinner’s syndrome: A case report. Urol Case Rep. 2015;3(5):149–151. doi: 10.1016/j.eucr.2015.06.015
  2. Sheih CP, Hung CS, Wei CF, Lin CY. Cystic dilatations within the pelvis in patients with ipsilateral renal agenesis or dysplasia. J Urol. 1990;144(2 Pt 1):324–327. doi: 10.1016/s0022-5347(17)39444-2
  3. Parsons RB, Fisher AM, Bar-Chama N, Mitty HA. MR imaging in male infertility. Radiographics. 1997;17(3):627–637. doi: 10.1148/radiographics.17.3.9153701
  4. Casey RG, Stunell H, Buckley O, et al. A unique radiological pentad of mesonephric duct abnormalities in a young man presenting with testicular swelling. Br J Radiol. 2008;81(963): e93–96. doi: 10.1259/bjr/31182823
  5. Tonakho E, Makaninch Dzh. Urologiya po Donal’du Smitu. Moscow: Praktika; 2005. P. 26–35.
  6. van den Ouden D, Blom JH, Bangma C, de Spiegeleer AH. Diagnosis and management of seminal vesicle cysts associated with ipsilateral renal agenesis: a pooled analysis of 52 cases. Eur Urol. 1998;33(5):433–440. doi: 10.1159/000019632
  7. Vasiliyev AO, Govorov AV, Kolontarev KB, Kupriianov IuA, Pushkar’ DYu. The experience of treating the patients with Zinner’s syndrome. Russian Journal of Human Reproduction. 2014;(2):72–77. (In Russ.)
  8. Zubkov AYu, Antonov NA. Clinical case of Zinner syndrome. Practical Medicine. 2018;1(112):161–162. (In Russ.)
  9. Komyakov BK, Dorofeev SYa, Rodygin LM. Cyst of the seminal vesicle. Urologiia. 2006;(1):68–70 (In Russ.)
  10. Kamalov AA, Karpov VK, Pshihachev AM et al. Surgical treatment of Zinner syndrome. Urologiia. 2022(4):60–62. (In Russ.) doi: 10.18565/urology.2022.4.60-62
  11. Altobelli E, Bove AM, Falavolti C, et al. Robotic-assisted laparoscopic approach in the treatment for Zinner’s Syndrome associated with ipsilateral megaureter and incomplete double-crossed ectopic ureter. Int Urol Nephrol. 2013;45(3):635–638. doi: 10.1007/s11255-013-0412-4
  12. Pereira BJ, Sousa L, Azinhais P, et al. Zinner’s syndrome: an up-to-date review of the literature based on a clinical case. Andrologia. 2009;41(5):322–330. doi: 10.1111/j.1439-0272.2009.00939.x

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1. JATS XML
2. Fig. 1. Removed epididymis of the left testicle

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3. Fig. 2. Extended left seminal vesicle in cross section. Seminal vesicle (arrow)

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4. Fig. 3. Magnetic resonance imaging, frontal section. 1 — Seminal vesicle, 2 — prostate

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5. Fig. 4. Magnetic resonance imaging, sagittal section. Seminal vesicle (arrow)

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6. Fig. 5. Seminal vesicle with ureter (1). Abdominal part of the vas deferens (2)

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7. Fig. 6. Cystically altered seminal vesicle and ureter on the cut. 1 — Seminal vesicle, 2 — ureter

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