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津纳综合征:一种罕见的先天性不孕原因。

Zinner syndrome: A rare congenital cause of infertility.

作者信息

Boui Meriem, Edderai Meryem, Zamani Ouijdane, Menaoui Ouadie El, Hommadi Abdelaziz, Lahkim Mohamed, Boumdine Hassan, Salaheddine Tarik, En-Nouali Hassan, Fenni Jamal El, Saouab Rachida

机构信息

Department of Radiology, Mohammed V Military Training Hospital, Rabat, Morocco.

出版信息

Radiol Case Rep. 2024 Sep 6;19(12):5586-5588. doi: 10.1016/j.radcr.2024.08.029. eCollection 2024 Dec.

Abstract

Zinner syndrome is a rare congenital malformation characterized by cystic seminal vesicles and ejaculatory duct obstruction in association with ipsilateral renal agenesis. It appears to be frequently linked to infertility. However, recent advances in imaging, notably MRI, have led to an increase in the diagnosis of this pathology. We describe the case of a 39-year-old patient receiving examination for primary infertility who was identified with Zinner syndrome using ultrasound, CT, and MRI; the patient did not report hemospermia, lower urinary tract symptoms, or perineal pain. Examining the abdomen and external genitalia revealed no abnormalities, and examining the rectal area revealed none at all. Zinner syndrome is a rare congenital condition; we report this case to highlight the etiopathogenesis of this seminal anomaly, its relationship with renal dysgenesis, and to illustrate the imaging of this condition through various diagnostic methods.

摘要

津纳综合征是一种罕见的先天性畸形,其特征为精囊囊肿和射精管梗阻,并伴有同侧肾缺如。它似乎常与不育症相关。然而,影像学尤其是MRI的最新进展使得这种病理状况的诊断有所增加。我们描述了一名39岁因原发性不育接受检查的患者,通过超声、CT和MRI确诊为津纳综合征;该患者未报告血精、下尿路症状或会阴疼痛。检查腹部和外生殖器未发现异常,直肠检查也未发现任何异常。津纳综合征是一种罕见的先天性疾病;我们报告此病例以突出这种精液异常的病因发病机制、其与肾发育不全的关系,并通过各种诊断方法阐述这种疾病的影像学表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a7f/11406332/ed9bdc70053f/gr1.jpg

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