A Rare Cause of Chronic Pelvic Pain in Young Man: Magnetic Resonance Imaging Findings of Zinner’s Syndrome
Yıl: 2019 Cilt: 6 Sayı: 4 Sayfa Aralığı: 331 - 334 Metin Dili: İngilizce DOI: 10.4274/jus.galenos.2019.2775 İndeks Tarihi: 26-06-2020
A Rare Cause of Chronic Pelvic Pain in Young Man: Magnetic Resonance Imaging Findings of Zinner’s Syndrome
Öz: Chronic pelvic pain is more uncommon in men than in women, and it is often thought to be due to problems with the urogenital system. Themaldevelopment of the urogenital system is a rare condition, and frequently detected incidentally. Zinner’s syndrome is a rare urogenital systemdevelopment anomaly comprising a triad of unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction. Patients withthis anomaly are often asymptomatic until the second or third decade of life. Some patients present with non-specific symptoms, such as prostatism,frequent micturition, recurrent urinary tract infections, painful ejaculation, and chronic pelvic pain. Here, we present the magnetic resonanceimaging findings in a 27-year-old patient who had experienced pelvic pain for two years and was diagnosed with Zinner’s syndrome in our clinic.
Anahtar Kelime: Genç Erkekte Kronik Pelvik Ağrının Nadir Bir Nedeni: Zinner Sendromunun Manyetik Rezonans Görüntüleme Bulguları
Öz: Erkeklerde kronik pelvik ağrı kadınlara göre daha nadir olarak görülür, sıklıkla ürogenital sistem kaynaklı olduğu düşünülmektedir. Ürogenital sistemin gelişimsel anomalileri nadirdir ve sıklıkla tesadüfen tespit edilir. Zinner sendromu, tek taraflı böbrek agenezisi, aynı taraflı seminal vezikül kistleri ve ejakülatör kanal tıkanıklığını içeren nadir bir ürogenital sistem gelişme anomalisidir. Bu anomali sıklıkla yaşamın ikinci veya üçüncü dekadına kadar asemptomatiktir. Bazı olgularda prostatizm, sık idrara çıkma ihtiyacı, tekrarlayan idrar yolu enfeksiyonları, ağrılı boşalma ve kronik pelvik ağrı gibi spesifik olmayan semptomlar vardır. Biz burada, iki yıldır pelvik ağrı şikayeti olan ve tarafımızca Zinner sendromu tanısı alan 27 yaşındaki hastada, manyetik rezonans görüntüleme bulgularını sunmayı amaçladık.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
- 1. Pereira BJ, Sousa L, Azinhais P, Conceição P, Borges R, Leão R, Brandão A, Temido P, Retroz E, Sobral F. Zinner’s syndrome: an up-to-date review of the literature based on a clinical case. Andrologia 2009;41:322-330.
- 2. Zinner A . Ein fall von intravesikaler samenblasenzyste. Weien Med Wschr 1914;64:604–610.
- 3. Gianna P, Giuseppe PG. Mayer-Rokitansky-Kuster-Hauser syndrome and the Zinner syndrome, female and male malformation of reproductive system: are two separate entities? J Chinese Clin Med 2007;2:11.
- 4. Kao CC, Wu CJ, Sun GH, Yu DS, Chen HI, Chang SY, Ma CP, Cha TL. Congenital seminal vesicle cyst associated with ipsilateral renal agenesis mimicking bladder outlet obstruction: a case report and review of the literature. Kaohsiung J Med Sci 2010;26:30-34.
- 5. Livingston L, Larson CR. Seminal vesicle cyst with ipsilateral renal agenesis. AJR Am J Roentgenol 2000;175:177-180.
- 6. Arora SS, Breiman RS, Webb EM, Westphalen AC, Yeh BM, Coakley FV. CT and MRI of congenital anomalies of the seminal vesicles. Am J Roentgenol 2007;189:130-135.
- 7. Kosan M, Tul M, Inal G, Ugurlu O, Adsan O. A large seminal vesicle cyst with contralateral renal agenesis. Int Urol Nephrol 2006;38:591-592.
- 8. Kenney PJ, Leeson MD. Congenital anomalies of the seminal vesicles: spectrum of computed tomographic findings. Radiology 1983;149:247- 251.
- 9. Trigaux JP, Van Beers B, Delchambre F. Male genital tract malformations associated with ipsilateral renal agenesis: sonographic findings. J Clin Ultrasound 1991;19:3e10.
- 10. Cihan A, Cimen S, Secil M, Kefi A, Aslan G. Congenital seminal vesicle cyst accompanying ipsilateral renal agenesis and rudimentary ureter. Int Urol Nephrol 2006;38:133-135.
- 11. Sundar R, Sundar G. Zinner syndrome: an uncommon cause of painful ejaculation. BMJ Case Rep 2015:2015.
- 12. King BF, Hattery RR, Lieber MM, Berquist TH, Williamson B Jr, Hartman GW. Congenital cystic disease of the seminal vesicle. Radiology 1991;178:207- 211.
| APA | Aslan S (2019). A Rare Cause of Chronic Pelvic Pain in Young Man: Magnetic Resonance Imaging Findings of Zinner’s Syndrome. , 331 - 334. 10.4274/jus.galenos.2019.2775 |
| Chicago | Aslan Serdar A Rare Cause of Chronic Pelvic Pain in Young Man: Magnetic Resonance Imaging Findings of Zinner’s Syndrome. (2019): 331 - 334. 10.4274/jus.galenos.2019.2775 |
| MLA | Aslan Serdar A Rare Cause of Chronic Pelvic Pain in Young Man: Magnetic Resonance Imaging Findings of Zinner’s Syndrome. , 2019, ss.331 - 334. 10.4274/jus.galenos.2019.2775 |
| AMA | Aslan S A Rare Cause of Chronic Pelvic Pain in Young Man: Magnetic Resonance Imaging Findings of Zinner’s Syndrome. . 2019; 331 - 334. 10.4274/jus.galenos.2019.2775 |
| Vancouver | Aslan S A Rare Cause of Chronic Pelvic Pain in Young Man: Magnetic Resonance Imaging Findings of Zinner’s Syndrome. . 2019; 331 - 334. 10.4274/jus.galenos.2019.2775 |
| IEEE | Aslan S "A Rare Cause of Chronic Pelvic Pain in Young Man: Magnetic Resonance Imaging Findings of Zinner’s Syndrome." , ss.331 - 334, 2019. 10.4274/jus.galenos.2019.2775 |
| ISNAD | Aslan, Serdar. "A Rare Cause of Chronic Pelvic Pain in Young Man: Magnetic Resonance Imaging Findings of Zinner’s Syndrome". (2019), 331-334. https://doi.org/10.4274/jus.galenos.2019.2775 |
| APA | Aslan S (2019). A Rare Cause of Chronic Pelvic Pain in Young Man: Magnetic Resonance Imaging Findings of Zinner’s Syndrome. Journal of Urological Surgery, 6(4), 331 - 334. 10.4274/jus.galenos.2019.2775 |
| Chicago | Aslan Serdar A Rare Cause of Chronic Pelvic Pain in Young Man: Magnetic Resonance Imaging Findings of Zinner’s Syndrome. Journal of Urological Surgery 6, no.4 (2019): 331 - 334. 10.4274/jus.galenos.2019.2775 |
| MLA | Aslan Serdar A Rare Cause of Chronic Pelvic Pain in Young Man: Magnetic Resonance Imaging Findings of Zinner’s Syndrome. Journal of Urological Surgery, vol.6, no.4, 2019, ss.331 - 334. 10.4274/jus.galenos.2019.2775 |
| AMA | Aslan S A Rare Cause of Chronic Pelvic Pain in Young Man: Magnetic Resonance Imaging Findings of Zinner’s Syndrome. Journal of Urological Surgery. 2019; 6(4): 331 - 334. 10.4274/jus.galenos.2019.2775 |
| Vancouver | Aslan S A Rare Cause of Chronic Pelvic Pain in Young Man: Magnetic Resonance Imaging Findings of Zinner’s Syndrome. Journal of Urological Surgery. 2019; 6(4): 331 - 334. 10.4274/jus.galenos.2019.2775 |
| IEEE | Aslan S "A Rare Cause of Chronic Pelvic Pain in Young Man: Magnetic Resonance Imaging Findings of Zinner’s Syndrome." Journal of Urological Surgery, 6, ss.331 - 334, 2019. 10.4274/jus.galenos.2019.2775 |
| ISNAD | Aslan, Serdar. "A Rare Cause of Chronic Pelvic Pain in Young Man: Magnetic Resonance Imaging Findings of Zinner’s Syndrome". Journal of Urological Surgery 6/4 (2019), 331-334. https://doi.org/10.4274/jus.galenos.2019.2775 |
