Lim Chye Yang, Liu Chien Liang, Huang Steven K
Division of Urology, Department of Surgery, Chi Mei Medical Center, No. 901, Zhonghua Rd., Yongkang, 71004 Tainan, Taiwan (R.O.C.).
Radiol Case Rep. 2023 Apr 7;18(6):2172-2175. doi: 10.1016/j.radcr.2023.02.057. eCollection 2023 Jun.
This is the case of a 45-year-old male who presented with dysuria and gross hematuria. Ultrasonography and computed tomography revealed an enormous pelvic cystic lesion and a right nephromegaly but an invisible left kidney. Using the imaging findings, the patient was diagnosed with Zinner syndrome. Transperitoneal laparoscopic excision of the cyst was performed for symptom relief. At post-treatment, the symptoms disappeared, and sexual function remained. Seminal vesicle cysts have been commonly reported in previous studies but rarely in this case. Furthermore, most previous studies have documented surgical excision of <10 cm cysts. However, a ∼12.5-cm seminal vesicle cyst was excised with the laparoscopic method without any perioperative complication in this case.
这是一名45岁男性患者的病例，其表现为排尿困难和肉眼血尿。超声检查和计算机断层扫描显示盆腔有一个巨大的囊性病变以及右肾肿大，但左肾未见显示。根据影像学检查结果，该患者被诊断为津纳综合征。为缓解症状，行经腹腹腔镜囊肿切除术。术后症状消失，性功能保留。精囊囊肿在以往研究中较为常见，但该病例中较少见。此外，以往大多数研究记录的是切除小于10厘米的囊肿。然而，本病例通过腹腔镜方法切除了一个约12.5厘米的精囊囊肿，且围手术期无任何并发症。
