Presentation
Infertility with painful ejaculation.
Patient Data
Age: 50 years
Gender: Male
From the case:
Zinner syndrome
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Absence of the left kidney with compensatory hypertrophy of the normally located right kidney.
Seminal vesicle cysts with a left dilated cystic tubular structure extending up from the left seminal vesicle into the left lower abdomen, ending abruptly at the level of the aortic bifurcation, indicating most likely an atretic ureter, with an ectopic orifice into the left seminal vesicle. No opacification of the atretic ureter in the delayed excretory phase.
Case Discussion
Zinner syndrome is a triad of Wolffian duct anomalies, comprising ipsilateral ejaculatory duct obstruction, seminal vesicle cysts, and unilateral renal agenesis.
Additional contributor: A. Ramdani, MD
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