Haddock Peter, Wagner Joseph R
Urology Division, Hartford Healthcare Medical Group, Hartford, CT.
Urology Division, Hartford Healthcare Medical Group, Hartford, CT.
Urology. 2015 May;85(5):e41-e42. doi: 10.1016/j.urology.2015.02.015.
The symptomatic presentation of seminal vesicle cysts with ipsilateral renal agenesis and ectopic ureter (Zinner syndrome) is rare. Patients are typically diagnosed at the third or the fourth decade of life and often present with infertility. Although the diagnosis can generally be made with magnetic resonance imaging, cystography can also be useful in indeterminate cases. We report on the unusual case of an 18-year-old man who presented with pelvic pain that was intensified by ejaculation. Computed tomography and magnetic resonance imaging revealed a cystic structure in the area of the right seminal vesicle that was successfully excised robotically without complications.
精囊囊肿合并同侧肾缺如及异位输尿管（齐纳综合征）的症状表现罕见。患者通常在三四十岁时被诊断出来，且常伴有不孕。虽然一般通过磁共振成像即可做出诊断，但膀胱造影在诊断不明确的病例中也可能有用。我们报告了一例不寻常的病例，一名18岁男性因射精时盆腔疼痛加剧前来就诊。计算机断层扫描和磁共振成像显示右侧精囊区域有一个囊性结构，通过机器人手术成功切除，无并发症发生。
