A large seminal vesicle cyst with contralateral renal agenesis

Kosan, Murat; Tul, Mesut; Inal, Gürdal; Uğurlu, Özgür; Adsan, Öztuğ

doi:10.1007/s11255-005-4982-7

Cited by 11 publications

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References 6 publications

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“…SVCs can be congenital or acquired. Congenital SVCs seem to be invariably associated with renal dysplasia, hypoplasia, agenesis and duplication abnormalities in the same side, with the exception of two cases [1,2].We report here a case report of a 26-year-old man who was referred to our hospital owing to absence of the left kidney, identified by sonography during a health examination. Magnetic resonance imaging (MRI) and magnetic resonance urography (MRU) showed a cyst expanding from the kidney fossa to the seminal vesicle fossa instead of the left kidney, ureter and seminal vesicle (Figure 1).…”

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Epididymal tissue in the dilated portion of a dysgenetic kidney with an ipsilateral seminal vesicle cyst and ectopic ureteral insertion

Ma¹,

Liu²,

Wang³

et al. 2010

Asian J Androl

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We present here a case report of a seminal vesicle cyst (SVC) in a young man with epididymal tissue in a dysgenetic kidney and ectopic ureteral insertion. SVCs are usually found in the second to fourth decades of life. SVCs can be congenital or acquired. Congenital SVCs seem to be invariably associated with renal dysplasia, hypoplasia, agenesis and duplication abnormalities in the same side, with the exception of two cases [1,2].We report here a case report of a 26-year-old man who was referred to our hospital owing to absence of the left kidney, identified by sonography during a health examination. Magnetic resonance imaging (MRI) and magnetic resonance urography (MRU) showed a cyst expanding from the kidney fossa to the seminal vesicle fossa instead of the left kidney, ureter and seminal vesicle (Figure 1). His right urinary tract was normal. A solid mass was present in the left side of the bladder, and the left ureteral orifice could not be seen with a cystoscope. Laboratory tests of the blood and urine were normal. Clinical examination showed that the patient had a normal pair of testes, epididymis and penis.The surgeons performed a retroperitoneoscopy together with a small inclined inferior abdominal incision under general anaesthesia. At first, the patient was recumbent on his right arm. The cyst was resected in the postperitoneal region. There were three laparoscopic ports: a 12-mm trocar port at the left postaxillary line below the 12th rib, a 5-mm trocar port at the preaxillary line and 2 cm above the spina iliaca and a 10-mm trocar port at the preaxillary line below the arcus costarum. During the operation, the surgeons noticed that the cyst was just as shown by MRI and MRU. There were no vessels to the left kidney. The cyst was dissociated easily. The ectopic ureter opened in the seminal vesicle cyst, which was filled with chyliform fluid. At first, the surgeons suspected that the fluid was liquor puris, but it was later found to be semen with few sperm, which had poor vitality. Thereafter, the patient was moved to the Trendelenburg position. A small inclined inferior abdominal incision was made at the left lateral border of the rectus muscle. This cyst was resected completely.The total operating time was 120 min, with an estimated blood loss of 100 mL. The patient was able

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confidence: 97%

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confidence: 99%

Epididymal tissue in the dilated portion of a dysgenetic kidney with an ipsilateral seminal vesicle cyst and ectopic ureteral insertion

Ma¹,

Liu²,

Wang³

et al. 2010

Asian J Androl

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“…If the ureteral bud arises more in cephalic position to the mesonephric duct blastema there will be delayed absorption of the caudal mesonephric duct and there will be emptying problem of the mesonephric duct derivate such as the duct of ejaculatorius or seminal vesicles (2,4,6). Therefore by time, the inclusion of the secretions will be accumulated in the seminal cyst because of the drainage problem.…”

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confidence: 99%

“…Usually the renal agenesis is unilateral and ipsilateral. There are only three cases demonstrated at the contralateral side in the literature (6)(7)(8).…”

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confidence: 99%

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Congenital seminal vesicle cyst accompanying with ipsilateral renal agenesis in an adolescent patient: A pediatric radiologist approach to Zinner’s syndrome

Özkan

Bilgici

Sahin

et al. 2015

The Egyptian Journal of Radiology and Nuclear Medicine

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A fifteen-year-old boy who had complaints of left sided pelvic pain with known ipsilateral left renal agenesia was referred to pediatric radiology department. Incidentally, his sonography examination revealed a dilated tubular structure located in the retro-vesicular region from cephalic to prostate. Contrast enhanced pelvic MRI showed a huge seminal vesicle cyst which is over 6 cm without a mass effect near the aspect border of the prostate and bladder. The patient was diagnosed with Zinner syndrome. The patient doesn't have new complaint with no definite increase in the diameter of the cyst. In this case presentation we are discussing the Zinner syndrome's imaging findings from a pediatric radiologist approach with a brief review of the literature.

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Nonneoplastic Diseases of the Prostate

Bostwick¹

2020

Urologic Surgical Pathology

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A large seminal vesicle cyst with contralateral renal agenesis

Abstract: Seminal vesicle cysts (SVC) are rather rare disorders. Our case is the first in literature where contralateral renal agenesis was seen together with SVC and surgically managed. We believe that the occurrence of these two coinciding abnormalities is incidental.

Cited by 11 publications

References 6 publications

Epididymal tissue in the dilated portion of a dysgenetic kidney with an ipsilateral seminal vesicle cyst and ectopic ureteral insertion

Epididymal tissue in the dilated portion of a dysgenetic kidney with an ipsilateral seminal vesicle cyst and ectopic ureteral insertion

Congenital seminal vesicle cyst accompanying with ipsilateral renal agenesis in an adolescent patient: A pediatric radiologist approach to Zinner’s syndrome

Nonneoplastic Diseases of the Prostate

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