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A rare presentation of Zinner syndrome as recurrent epididymitis: A case report

Zinner syndrome is a rare congenital malformation characterized by ipsilateral renal agenesis, atresia of the ejaculatory duct, and cystic distension of the seminal vesicles. Symptoms typically arise in adolescence or adulthood and may include painful urination, perineal discomfort, and post-ejacula...

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Autores principales: Khalil, Nabil CN, Ayyad, Mohammed, Albandak, Maram, Aljundi, Anas, Qabaja, Mohamad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10498700/
https://www.ncbi.nlm.nih.gov/pubmed/37711962
http://dx.doi.org/10.1177/2050313X231200111
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author Khalil, Nabil CN
Ayyad, Mohammed
Albandak, Maram
Aljundi, Anas
Qabaja, Mohamad
author_facet Khalil, Nabil CN
Ayyad, Mohammed
Albandak, Maram
Aljundi, Anas
Qabaja, Mohamad
author_sort Khalil, Nabil CN
collection PubMed
description Zinner syndrome is a rare congenital malformation characterized by ipsilateral renal agenesis, atresia of the ejaculatory duct, and cystic distension of the seminal vesicles. Symptoms typically arise in adolescence or adulthood and may include painful urination, perineal discomfort, and post-ejaculatory pain. Diagnosis, often made between the ages of 20 and 50 years, involves differentiating Zinner syndrome from other cystic disorders using techniques such as cystoscopy, MRI, intravenous urography, and transrectal ultrasound. Treatment varies based on symptom severity, ranging from conservative approaches to invasive surgeries. Regular follow-up is essential to identify complications and preserve fertility. Herein, we present a 27-year-old male with recurrent scrotal swelling and erythema incidentally diagnosed with Zinner syndrome. The patient had a history of recurrent epididymitis and was found to have cystic dilatation of the seminal vesicle, ipsilateral renal agenesis, and obstruction of the left ejaculatory duct on imaging. Given the patient’s mild symptoms, he was managed conservatively with antibiotics and pain medication, resulting in significant improvement.
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spelling pubmed-104987002023-09-14 A rare presentation of Zinner syndrome as recurrent epididymitis: A case report Khalil, Nabil CN Ayyad, Mohammed Albandak, Maram Aljundi, Anas Qabaja, Mohamad SAGE Open Med Case Rep Case Report Zinner syndrome is a rare congenital malformation characterized by ipsilateral renal agenesis, atresia of the ejaculatory duct, and cystic distension of the seminal vesicles. Symptoms typically arise in adolescence or adulthood and may include painful urination, perineal discomfort, and post-ejaculatory pain. Diagnosis, often made between the ages of 20 and 50 years, involves differentiating Zinner syndrome from other cystic disorders using techniques such as cystoscopy, MRI, intravenous urography, and transrectal ultrasound. Treatment varies based on symptom severity, ranging from conservative approaches to invasive surgeries. Regular follow-up is essential to identify complications and preserve fertility. Herein, we present a 27-year-old male with recurrent scrotal swelling and erythema incidentally diagnosed with Zinner syndrome. The patient had a history of recurrent epididymitis and was found to have cystic dilatation of the seminal vesicle, ipsilateral renal agenesis, and obstruction of the left ejaculatory duct on imaging. Given the patient’s mild symptoms, he was managed conservatively with antibiotics and pain medication, resulting in significant improvement. SAGE Publications 2023-09-12 /pmc/articles/PMC10498700/ /pubmed/37711962 http://dx.doi.org/10.1177/2050313X231200111 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Khalil, Nabil CN
Ayyad, Mohammed
Albandak, Maram
Aljundi, Anas
Qabaja, Mohamad
A rare presentation of Zinner syndrome as recurrent epididymitis: A case report
title A rare presentation of Zinner syndrome as recurrent epididymitis: A case report
title_full A rare presentation of Zinner syndrome as recurrent epididymitis: A case report
title_fullStr A rare presentation of Zinner syndrome as recurrent epididymitis: A case report
title_full_unstemmed A rare presentation of Zinner syndrome as recurrent epididymitis: A case report
title_short A rare presentation of Zinner syndrome as recurrent epididymitis: A case report
title_sort rare presentation of zinner syndrome as recurrent epididymitis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10498700/
https://www.ncbi.nlm.nih.gov/pubmed/37711962
http://dx.doi.org/10.1177/2050313X231200111
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