Zinner syndrome

Case contributed by Dalia Ibrahim
Diagnosis probable

Presentation

History of recurrent prostatitis and was treated prior for a prostatic abscess 1 year ago. The patient complains of chronic pelvic pain.

Patient Data

Age: 20 years
Gender: Male
mri

Left seminal vesicle cystic dilatation down to a small cyst seen at its orifice, elicits a high signal on T1 suggestive of proteinaceous/hemorrhagic contents.

Left ejaculatory duct obstruction.

Left renal agenesis.

Case Discussion

Zinner syndrome is a triad of Wolffian duct anomalies comprising of unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction.

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