Zinner's syndrome: clinical case of a rare pathology

D. A. Dobroserdov, M. P. Kuchinskii, N. A. Filatova, L. T. Nalgieva
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Abstract

Zinner’s syndrome is a rare congenital urogenital anomaly characterised by the triad of seminal vesicle cyst, ipsilateral renal aplasia, and seminal duct obstruction. According to the published data, the incidence of seminal vesicle cysts with ipsilateral renal agenesis is 0.0046%, but the true incidence appears to be higher. The article presents a rare clinical case of patient K, 17 years old, followed since birth with a solitary right kidney. The patient was repeatedly examined (ultrasound, cystography, urography, abdominal MRI, pelvic CT). The boy was admitted to our clinic with the diagnosis of "Solitary right kidney" and pelvic cystic formation detected according to the last CT scan. MRI examination of the small pelvis, cystoscopy, diagnostic laparoscopy, puncture of the cystic mass were performed. The diagnosis of "Zinner's syndrome" was made. The size of the cyst did not change during follow-up.
津纳综合征:罕见病理的临床病例
津纳综合征是一种罕见的先天性泌尿生殖系统异常,其特征是精囊囊肿、同侧肾发育不全和精管梗阻。根据已发表的资料,精囊囊肿合并同侧肾发育不全的发生率为0.0046%,但真实的发生率似乎更高。本文提出了一个罕见的临床病例患者K, 17岁,自出生以来跟随一个孤立的右肾。反复检查(超声、膀胱造影、尿路造影、腹部MRI、盆腔CT)。该男童入院诊断为“单侧右肾”,最后一次CT检查发现盆腔囊性形成。行小骨盆MRI检查、膀胱镜检查、诊断性腹腔镜检查、囊性肿块穿刺检查。诊断为“津纳综合征”。在随访期间,囊肿的大小没有改变。
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