Zinner syndrome

Case contributed by Ammar Haouimi
Diagnosis almost certain


Infertility with painful ejaculation.

Patient Data

Age: 50 years
Gender: Male

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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