Zinner syndrome, a rare developmental anomaly of the
urogenital tract, is a result of disrupted embryonic development of the
genitourinary system. With approximately 100 reported cases, this condition is
characterized by renal agenesis, ipsilateral seminal vesicle cyst, and vas
deferens obstruction or dilation. Most patients remain asymptomatic, making
early diagnosis challenging. Various radiologic modalities, including
intravenous pyelography, ultrasonography, vasovesiculography, contrast-enhanced
computed tomography (CT), and magnetic resonance imaging (MRI), contribute to
accurate diagnosis. We present a case of Zinner syndrome, highlighting its
rarity and the importance of vigilant imaging for identification. While
asymptomatic patients necessitate active follow-up, those with symptomatic
presentations may require surgical interventions, such as perineal cyst
aspiration, subcutaneous cyst drainage, laparoscopic, or open surgery.
Additionally, male patients should be monitored for potential infertility. Our
case, involving a 17-year-old asymptomatic individual initially presenting with
bilateral pneumonia, underscores the need for ongoing surveillance in managing
Zinner syndrome.
Author(s) Details:
Vladimer Papava,
Department of Urology, Tbilisi State Medical University, Tbilisi,
Georgia.
Tamar
Didbaridze,
Tbilisi
State Medical University, Tbilisi, Georgia.
Giorgi Sinauridze,
Department of Urology, Tbilisi State Medical University, Tbilisi,
Georgia.
Magda Tsirekidze,
Department of Radiology, Tbilisi State Medical University, Tbilisi,
Georgia.
Tamta Mamasakhlisi,
Department
of Internal Medicine, Tbilisi State Medical University, Tbilisi, Georgia.
Valeriane
Kvakhajelidze,
Department
of Urology, Clinic ‘’Pineo’’, Tbilisi, Georgia.
Leli Shanidze,
Tbilisi State Medical University, Tbilisi, Georgia.
Zurabi Zaalishvili,
American Program of Tbilisi State Medical University, Tbilisi,
Georgia.
Please see the link here: https://stm.bookpi.org/ANUMS-V5/article/view/13301
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