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LETTER TO EDITOR
Year : 2022  |  Volume : 17  |  Issue : 3  |  Page : 804-805

Left congenital seminal vesicle cyst associated with ipsilateral renal agenesis and testicular atrophy: An important association


Department of Radio-Diagnosis, Jawaharlal Nehru Medical College, DMIMS, Sawangi, Wardha, Maharashtra, India

Date of Submission04-Dec-2020
Date of Decision23-Oct-2021
Date of Acceptance15-Jan-2022
Date of Web Publication2-Nov-2022

Correspondence Address:
Dr. Suresh V Phatak
Department of Radio-diagnosis, Jawaharlal Nehru Medical College, DMIMS, Sawangi, Wardha - 442 001, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_431_20

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How to cite this article:
Manoj M, Phatak SV, Harshith Gowda K B, Jain S. Left congenital seminal vesicle cyst associated with ipsilateral renal agenesis and testicular atrophy: An important association. J Datta Meghe Inst Med Sci Univ 2022;17:804-5

How to cite this URL:
Manoj M, Phatak SV, Harshith Gowda K B, Jain S. Left congenital seminal vesicle cyst associated with ipsilateral renal agenesis and testicular atrophy: An important association. J Datta Meghe Inst Med Sci Univ [serial online] 2022 [cited 2023 Feb 8];17:804-5. Available from: http://www.journaldmims.com/text.asp?2022/17/3/804/360223



Sir,

We are presenting ultrasonography findings of the left seminal vesicle cyst with agenesis of ipsilateral kidney. A 42-year-old male was referred to the department of radiodiagnosis for sonographic evaluation of left loin pain for 10 days. He had no history of fever, trauma, or any chronic medical illness. He had been married for 18 years with two children. Physical examination of the patient was unremarkable. On sonography of abdomen and pelvis, there was evidence of multiple cystic-tubular structures in the left seminal vesicle. There was also the absence of kidney in the left renal fossa with compensatory hypertrophy of contralateral kidney. On scrotal sonographic examination, he was found to have a small left testis and a normal right testis.

Seminal vesicles are a paired tubular accessory glands of the male reproductive system that has a common origin with that of the urinary system. Mesonephric or Wolffian ducts are paired structures which develop from the intermediate mesoderm of trilaminar germ disc. The proximal part of the duct gives rise to the kidneys whereas the distal end gives rise to the seminal vesicles, vas deferens, and in males.[1] As a result of their common origin, congenital anomalies of seminal vesicles are closely associated with anomalies of the urinary system. Congenital cysts of seminal vesicles are rare entities with an incidence of 0.005%.[2] They can occur as isolated cysts or in association with urinary tract anomalies. Most often these are found incidentally as small cysts measuring <5 cm. Sometimes, they can become giant cysts (measuring more than 12 cm) and cause mass effect on the bowel or bladder. Bilateral seminal vesicle cysts are seen in 44%–60% of cases with autosomal dominant polycystic kidneys. Other conditions which can mimic seminal vesicle cysts include obstruction of seminal vesicles, ejaculatory duct or vas deferens, ureterocele, dilated ectopic ureter, Müllerian duct cyst, and ejaculatory duct cyst.[3]

Zinner's syndrome is a rare congenital anomaly of the genitourinary system, first described by Zinner in 1914. It is characterized by a triad of seminal vesicle cyst, ejaculatory duct obstruction, and ipsilateral renal agenesis. A few cases associated with small testis and ureterocele have also been reported in literature. These findings have to be confirmed on magnetic resonance imaging which is modality of choice to diagnose pelvic lesions [Figure 1], [Figure 2], [Figure 3].[4]
Figure 1: Ultrasound image shows left seminal vesicle cysts

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Figure 2: Ultrasound images show agenesis of left kidney and hypertrophied right kidney

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Figure 3: Ultrasound images show a small left testis (28 x 13 mm) and a normal right testis (46 x 18 mm)

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Yu M, Wang SM. Embryology, Wolffian ducts. In: StatPearls: StatPearls Publishing; 2020.  Back to cited text no. 1
    
2.
Ocal O, Karaosmanoglu AD, Karcaaltıncaba M, Akata D, Ozmen M. Imaging findings of congenital anomalies of seminal vesicles. Pol J Radiol 2019;84:e25-31.  Back to cited text no. 2
    
3.
Kim B, Kawashima A, Ryu JA, Takahashi N, Hartman RP, King BF Jr. Imaging of the seminal vesicle and vas deferens. Radiographics 2009;29:1105-21.  Back to cited text no. 3
    
4.
Tan Z, Li B, Zhang L, Han P, Huang H, Taylor A, et al. Classifying seminal vesicle cysts in the diagnosis and treatment of Zinner syndrome: A report of six cases and review of available literature. Andrologia 2020;52:e13397.  Back to cited text no. 4
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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