Ureteral Ectopia Associated with Seminal Vesicle Cyst and Ipsilateral Renal Agenesis

Levisay, Maj. Gerald L.; Holder, John C.; Welgel, Col. John W.

doi:10.1148/114.3.575

Cited by 23 publications

(9 citation statements)

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“…We collected 42 case reports from the literature describing 51 males with seminal vesicle cysts and ipsilateral renal agenesis [1, 2, 3, 4, 5, 13, 14, 16, 17, 18, 19, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52]. One patient who presented in our clinic was included in the analysis: the total number of patients was 52.…”

Section: Patient Group Characteristicsmentioning

confidence: 99%

Diagnosis and Management of Seminal Vesicle Cysts Associated with Ipsilateral Renal Agenesis: A Pooled Analysis of 52 Cases

Ouden

Blom²,

Bangma³

et al. 1998

European Urology

155

221

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Section: Patient Group Characteristicsmentioning

confidence: 99%

Diagnosis and Management of Seminal Vesicle Cysts Associated with Ipsilateral Renal Agenesis: A Pooled Analysis of 52 Cases

Ouden

Blom²,

Bangma³

et al. 1998

European Urology

155

221

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“…If the ureteral bud arises in a more cephalic position off the mesonephric duct, delayed absorption of the caudal mesonephric duct will result in the distal ureteral bud emptying into mesonephric duct derivatives, including the vas deferens, seminal vesicle, ejaculatory duct, or into the bladder neck and urethra [ 12 ]. Ectopic ureters entering seminal vesicle cysts associated with ipsilateral renal agenesis are uncommon; however, they have been reported and may be complicated by reflux and obstruction [ 7 ]. All this explains that the seminal vesicle cyst associated with agenesis or dysplasia of the ipsilateral kidney is rare.…”

Section: Discussionmentioning

confidence: 99%

Zinner’s syndrome: report of two cases and review of the literature

Slaoui

Regragui

Lasri

et al. 2016

Basic Clin. Androl.

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BackgroundCongenital malformations of the seminal vesicle are uncommon, and most of them are cystic malformations. If an insult occurs between the 4th and the 13 h gestational week, the embryogenesis of the kidney, ureter, seminal vesicle, and vas deferens could be altered. Cysts of the seminal vesicle may appear with a mass effect, dysuria, epididymitis, or obstruction of the gastrointestinal and genitourinary tracts. Approximately two thirds of them are associated with ipsilateral renal agenesis, because both the ureteral buds and seminal vesicles originate from the mesonephric (Wolffian) duct. They were first described by Zinner in 1914, and 200 cases of seminal vesicle cysts associated with ipsilateral renal agenesis have been reported in the literature. Most patients with this anomaly are asymptomatic until the third or fourth decade of life. Some cases have nonspecific symptoms such as prostatism, urinary urgency, dysuria, painful ejaculation, and perineal discomfort. Transrectal ultrasonography provides good visualization of the pelvic structures and allows guidance for aspiration of the cysts.Case presentationWe present two cases of seminal vesicle cyst. The first patient had dysuria, increased frequency of urination, and haematuria. He was operated and benefited from a removal of the cyst with right ureterectomy and left ureteral reimplantation. The second patient had disorder of the digestive transit and he benefited from a laparoscopic removal of the cyst.ConclusionsSeminal vesicle cysts combined with ipsilateral renal agenesis are rare urological anomalies. Usual symptoms that are caused by the seminal vesicle cysts are bladder irritation and obstruction as well as pain in the perineum and scrotum. Epididymitis is frequently found. Treatment consists to removing the seminal vesicle cyst.

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“…Ureteral ectopia in males usually involves drainage into the seminal vesicle (5). Ectopia in these areas may be associated with reflux or obstruction, and this is the suggested cause of renal functional impairment or absence (4). So, seminal vesicle cysts are commonly associated with renal agenesis or dysgenesis on the ipsilateral side (6).…”

Section: Discussionmentioning

confidence: 99%

Primary Mucinous Adenocarcinoma of a Seminal Vesicle Cyst Associated with Ectopic Ureter and Ipsilateral Renal Agenesis: a Case Report

et al. 2007

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Primary adenocarcinoma of the seminal vesicles is a rare neoplasm. Congenital seminal vesicle cysts are commonly associated with unilateral renal agenesis or dysgenesis. To the best of our knowledge, mucinous adenocarcinoma of the seminal vesicle cyst that's associated with an ectopic ureter opening into the seminal vesicle and ipsilateral renal agenesis has not been described in the radiological literature. We report here on the radiological findings of a primary adenocarcinoma of a seminal vesicle cyst in this condition.rimary tumors of the seminal vesicles are rare. Primary adenocarcinoma of the seminal vesicles commonly occurs in patients who over the age of 50. Congenital anomalies of the mesonephric duct are rare in males. Congenital seminal vesicle cysts are commonly associated with ipsilateral renal agenesis or dysgenesis (1). We present here the imaging findings of a primary adenocarcinoma of a seminal vesicle cyst associated with an ectopic ureter opening into a seminal vesicle and ipsilateral renal agenesis. CASE REPORTA 41-year-old man presented with terminal gross hematuria that was noted one month earlier. His past medical history was unremarkable except that he had suffered with prostatitis. The serum markers for prostate cancer, prostate-specific antigen (PSA) and prostatic acid phosphatase (PAP) were normal. Carcinoembryonic antigen (CEA) was also in the normal range. Transrectal ultrasonography showed a well-demarcated, pear-shaped cystic lesion that included an echogenic papillary solid mass in his left seminal vesicle (Fig. 1A). Contrast-enhanced pelvic CT showed that the papillary solid mass originated from the wall of the left seminal vesicle cyst and it was mildly enhanced (Fig. 1B). A dilated ectopic ureter opening into the dilated left seminal vesicle was also seen. There was no evidence of any other pelvic tumors. Contrast enhanced abdominal CT at the level of the L4 vertebra demonstrated a small abnormal soft tissue density in the aorta's left lateral aspect, suggesting a dysgenetic or atrophic kidney (Fig. 1C). The axial T1-weighted (TR/TE: 540/12 ms) MR image showed high signal-intensity fluid in the seminal vesicle cyst (Fig. 1D). The coronal T2-weighted (TR/TE: 5500/136 ms) MR image demonstrated an approximately 7.8 6 5.2 cm papillary mass in the left seminal vesicle cyst (Fig. 1E). The sagittal T2-weighted image showed a markedly dilated ectopic ureter draining into the cyst (Fig. 1E). The cystoscopic findings showed bulging of the left hemitrigone on the left side of the bladder. The left ureteral orifice was absent.Radical excision of the left agenetic kidney, left ureter and seminal vesicle cyst and a

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Ureteral Ectopia Associated with Seminal Vesicle Cyst and Ipsilateral Renal Agenesis

Abstract: A case of an ectopic ureter entering a seminal vesicle cyst and associated with ipsilateral renal agenesis is presented. The differential diagnosis and the embryological explanation of the anomaly are considered.

Cited by 23 publications

References 1 publication

Diagnosis and Management of Seminal Vesicle Cysts Associated with Ipsilateral Renal Agenesis: A Pooled Analysis of 52 Cases

Diagnosis and Management of Seminal Vesicle Cysts Associated with Ipsilateral Renal Agenesis: A Pooled Analysis of 52 Cases

Zinner’s syndrome: report of two cases and review of the literature

Primary Mucinous Adenocarcinoma of a Seminal Vesicle Cyst Associated with Ectopic Ureter and Ipsilateral Renal Agenesis: a Case Report

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