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2023•Biological and Clinical Sciences Research JournalOpen access

UNILATERAL EJACULATORY DUCT OBSTRUCTION: A CASE STUDY OF ZINNER'S SYNDROME

S. Aslam, M NASREEN, Ahmad Hameed

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Abstract

Zinner’s syndrome is a rare congenital mesonephric (Wolffian) duct anomaly due to developmental arrest in early embryogenesis, comprising unilateral ejaculatory duct obstruction or agenesis, ipsilateral seminal vesicle cysts, and ipsilateral renal agenesis. Here, we present a case of a healthy 17-year-old male in Pakistan presenting with complaints of mild, dull pain in the left lower abdomen. He had no history of lower urinary tract symptoms and regular bowel habits. Imaging revealed non-visualization of the left kidney with multi-cystic pelvic mass related to the left seminal vesicle in keeping with the diagnosis of Zinner’s syndrome.

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What this paper is about

Zinner’s syndrome is a rare congenital mesonephric (Wolffian) duct anomaly due to developmental arrest in early embryogenesis, comprising unilateral ejaculatory duct obstruction or agenesis, ipsilateral seminal vesicle cysts, and ipsilateral renal agenesis. Here, we present a case of a healthy 17-year-old male in Pakistan presenting with complaints of mild, dull pain in the left lower abdomen. He had no history of lower urinary tract symptoms and regular bowel habits. Imaging revealed non-visualization of the left kidney with multi-cystic pelvic mass related to the left seminal vesicle in keeping with the diagnosis of Zinner’s syndrome.

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Available abstract

Zinner’s syndrome is a rare congenital mesonephric (Wolffian) duct anomaly due to developmental arrest in early embryogenesis, comprising unilateral ejaculatory duct obstruction or agenesis, ipsilateral seminal vesicle cysts, and ipsilateral renal agenesis. Here, we present a case of a healthy 17-year-old male in Pakistan presenting with complaints of mild, dull pain in the left lower abdomen. He had no history of lower urinary tract symptoms and regular bowel habits. Imaging revealed non-visualization of the left kidney with multi-cystic pelvic mass related to the left seminal vesicle in keeping with the diagnosis of Zinner’s syndrome.

Key concepts: Mesonephric duct, Ejaculatory duct, Seminal vesicle, Medicine, Renal agenesis, Agenesis, Abdomen, Anatomy

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