Zinner syndrome: A case report and literatures review

doi:10.3877/cma.j.issn.1674-3253.2022.02.017

Abstract

Abstract:

Objective

To report a case of Zinner syndrome, analyze its diagnosis and treatment, and review relevant literatures to improve the understanding of this disease.

Methods

A case of Zinner syndrome was retrospectively analyzed. The patient was an 18-year-old male who was admitted to our hospital due to "repeated urinary frequency, dysuria, pain and discomfort in the perineal area for 1 year, aggravation in symptom and fever for 1 day" . Zinner syndrome was diagnosed by imaging and laboratory examination.

Results

After receiving anti-infection treatment for 7 days, the clinical symptoms disappeared. Blood routine, procalcitonin and CRP infection indexes were normal, and the patient was discharged after continued anti-infection treatment for 1 week. After 3 months, the patient was re-admitted to the hospita for re-examination with mild urination frequency, no symptoms of urination pain, and no abnormalities in blood routine examination. Laparoscopic left seminal vesicle cystectomy was performed, and then postoperative pathology confirmed the inflammatory infiltration of the seminal vesicle wall. The patient was discharged from hospital 5 days after the operation. The patient was followed up 6 months after the operation without recurrence of discomfort symptoms such as frequent urination, painful urination and perineal pain.

Conclusion

Color ultrasound, CT and MRI examinations are important for the diagnosis of Zinner syndrome, and pathological examination is the basis to identify the inflammatory infiltration of seminal vesicle cyst. Acute seminal vesicle cyst infection with ipsilateral renal absence and ureteral dysplasia is one of the manifestations of Zinner syndrome. Laparoscopic seminal vesicle cystectomy after infection control is safe and effective.

Key words: Zinner syndrome, Seminal vesicle cast, Renal agenesis, Infection

Dawei Ni, Can Wei, Wei Qi, Lishan Ma, Yanbin Zhang. Zinner syndrome: A case report and literatures review[J]. Chinese Journal of Endourology(Electronic Edition), 2022, 16(02): 173-176.

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References 17

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