Yousaf Amman, Fazeel Hafiz Muhammad, Shah Mohammed Hamza, Ghaffar Fariha, Batool Syeda Sabeeka
Radiology, Hamad General Hospital, Doha, QAT.
Radiology, Services Institute of Medical Sciences, Lahore, PAK.
Cureus. 2020 May 31;12(5):e8381. doi: 10.7759/cureus.8381.
Zinner syndrome is a rare hereditary disorder of the mesonephric duct. The triad of the absence of one kidney, ipsilateral cystic dilatation of the seminal vesicle, and ejaculatory duct obstruction makes the diagnosis. Mostly, it is asymptomatic. However, genitourinary manifestations and workup for the incidental absence of one kidney often uncover the disease. Ultrasound and CT scan can identify the absence of a kidney and seminal vesicle cyst, while MRI is the gold standard for diagnostic elaboration of the pelvic anatomy. In this article, we have presented a 51-year-old male patient who presented with renal colic and hypertension. Radiological investigations for the renal colic uncovered the diagnosis of Zinner syndrome incidentally. This case highlights the incidental nature, variability in the clinical presentation, and the diagnostic challenges of this rare disorder. It also emphasizes on the radiologist for a careful evaluation of the pelvic images in patients with unilateral absence of a kidney.
齐纳综合征是一种罕见的中肾管遗传性疾病。一侧肾缺如、同侧精囊囊性扩张和射精管梗阻三联征可作出诊断。多数情况下，该病无症状。然而，泌尿生殖系统表现以及因偶然发现一侧肾缺如而进行的检查常可发现此病。超声和CT扫描可识别肾缺如和精囊囊肿，而MRI是详细诊断盆腔解剖结构的金标准。在本文中，我们介绍了一名51岁男性患者，他因肾绞痛和高血压就诊。针对肾绞痛进行的影像学检查偶然发现了齐纳综合征的诊断。该病例突出了这种罕见疾病的偶发性、临床表现的变异性以及诊断挑战。它还强调放射科医生要仔细评估单侧肾缺如患者的盆腔影像。
