Abstract

AN UNUSUAL CASE OF BLADDER OUTLET OBSTRUCTION “ZINNER’ SYNDROME”- TRIAD OF SEMINAL VESICLE CYST, IPSILATERAL RENAL AGENESIS AND EJACULATORY DUCT OBSTRUCTION- A CASE REPORT

Prof. Joseph Philipraj*, Dr. Deepak David and Dr. Pragadeeshwaran

ABSTRACT

The triad of Seminal vesicle cyst, ipsilateral renal agenesis and ejaculatory duct obstruction represents a rare Mullarian duct anomaly. Manifestations can be manifold. We report a 25 year old unmarried male who presented with complaints of irritative and obstructive voiding since 2 years. Ultrasound abdomen, Trans-rectal ultrasound, Contrast enhanced CT and screening MRI showed right sided seminal vesicle cyst, Contralateral seminal vesicle ectasia with absent Right kidney. Cystoscopy revealed on the right side large cystic lesion indenting the right hemi-trigone and extending to the bladder neck with non visualization of right ureteric orifice. Patient was subjected to TRUS guided aspiration. The patient showed significant improvement during his follow-up. Uroflowmetry showed an improvement in max flow rate from 9 – 22ml/sec.

Keywords: Zinner’s syndrome, Seminal vesicle cyst, Renal agenesis, Ejaculatory Duct.