Ann Urol Res | Volume 3, Issue 1 | Case Report | Open Access

Zinner Syndrome Case Report - A Rare Developmental Anomaly of the Mesonephric Duct

Suraj Hegde and Nirmal Kumar*

Department of Urology, Justice KS Hegde Charitable Hospital, India

*Correspondance to: Nirmal Kumar 

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Zinner syndrome is a rare congenital malformation characterized by the association of an ipsilateral
seminal vesicle cyst, ipsilateral renal agenesis and ipsilateral ejaculatory duct obstruction due to
developmental arrest in early embryogenesis affecting the caudal end of Mullerian duct. Here we
report a 19 year-old male patient presented with complaints of right groin pain radiating to the right
testis and the medial aspect of the right thigh for the last 1 month. No history of lower urinary tract
symptoms, painful ejaculation, hematuria, or trauma. General physical examination no abnormality
detected. Ultrasound abdomen and pelvis shows absent right kidney with cystic structure behind
the bladder. Computed tomography showed absence of right kidney noted in right renal fossa and
along the line of its ascent. There is associated absence of ipsilateral renal artery and low lying right
adrenal gland. A well defined cystic tubular lesion with bulbous anterior intra vesicle projection is
seen cephalic and lateral to prostate along its right side seminal vesicle cyst which corresponds to
Zinner syndrome. The patient was asymptomatic and was managed conservatively with analgesics
during his follow-up in our clinic with disappearance of the pain. The Conservative management is
the mainstay of treatment plan in asymptomatic patients. The patient was symptomatically better
during his follow-up in our hospital with disappearance of the pain.


Hegde S, Kumar N. Zinner Syndrome Case Report - A Rare Developmental Anomaly of the Mesonephric Duct. Ann Urol Res. 2019; 3(1): 1018..

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