Incidental finding of Zinner syndrome in a Greek military recruit: a case report of a rare clinical entity
Autor: | Vasileios Kalyvas, Asterios Symeonidis, Michail Papathanasiou, Evangelos N. Symeonidis, Chrysovalantis Gkekas, Christos Georgiadis, Apostolos Malioris, Ioannis Tsifountoudis |
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Rok vydání: | 2019 |
Předmět: |
Male
0301 basic medicine medicine.medical_specialty Youth Referral Case Report Kidney Asymptomatic Congenital Abnormalities Mesonephric duct Solitary Kidney Young Adult 03 medical and health sciences 0302 clinical medicine Seminal vesicle medicine Humans Ejaculatory duct obstruction Seminal vesicle cyst Renal agenesis Mass screening lcsh:R5-920 Incidental Findings Zinner syndrome lcsh:Military Science Greece business.industry lcsh:U General surgery Seminal Vesicles 030208 emergency & critical care medicine General Medicine medicine.disease Military recruit Semen Analysis Military Personnel 030104 developmental biology medicine.anatomical_structure Private practice Urogenital Abnormalities Greek medicine.symptom lcsh:Medicine (General) Tomography X-Ray Computed business |
Zdroj: | Military Medical Research Military Medical Research, Vol 6, Iss 1, Pp 1-6 (2019) |
ISSN: | 2054-9369 |
Popis: | Background Zinner syndrome represents a rare congenital malformation of the urinary tract. It comprises a constellation of Wolffian duct anomalies and is almost exclusively encountered as a classic triad of seminal vesicle cysts, ejaculatory duct obstruction and renal agenesis. Patients can be either asymptomatic or symptomatic. Recently, minimally invasive surgical techniques have emerged, superseding traditional surgery for select symptomatic cases. Our case highlights the finding of a rare clinical syndrome that was incidentally detected during a routine mass screening of military recruits in the Greek Armed Forces. Case presentation Herein, we present a case of a 19-year-old male who reported having a solitary right kidney when examined in a military training center of Northern Greece. No additional clinical information was available; thus, referral to a tertiary urology department for further investigation ensued. Imaging studies, namely, computed tomography and magnetic resonance imaging, revealed left renal aplasia, multiple left seminal vesicle cysts, and ejaculatory duct obstruction. Laboratory values and urinalysis were within normal range. Semen analysis was significant for cryptozoospermia. Our patient remained asymptomatic during the entire hospitalization. Long-term follow-up was recommended. Nevertheless, he declined further investigation and sought treatment in a private practice setting. Conclusions This article aims to present the incidental diagnosis of a rare syndrome in a military setting. Population screening conducted in the armed forces permits the identification of undiagnosed diseases that warrant further investigation. To the best of our knowledge, this was the first report of Zinner syndrome in a military recruit and the second case cited of a Greek patient in the published literature. Regular follow-up is the key to timely intervention in conservatively managed cases. |
Databáze: | OpenAIRE |
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