scholarly journals Management of Zinner’s Syndrome Associated with Contralateral Seminal Vesicle Hypoplasia: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Mehdi Kardoust Parizi ◽  
Nasser Shakhssalim
Keyword(s):  
Seminal Vesicle ◽  
Ejaculatory Duct ◽  
Resonance Imaging ◽  
Invasive Treatment ◽  
Missed Abortion ◽  
Pelvic Magnetic Resonance Imaging ◽  
Sperm Analysis ◽  
Normal Sperm ◽  
Magnetic Resonance Imaging Mri ◽  
Zinner’S Syndrome

A 27-year-old man presented with chronic hematospermia, painful ejaculation, and primary infertility. Physical examination, transrectal ultrasonography, and pelvic magnetic resonance imaging (MRI) demonstrated left seminal vesicle cyst, left renal agenesia, and contralateral seminal vesicle hypoplasia. Hormone workup (LH, FSH, prolactin, and testosterone) was normal. Sperm analysis showed oligoasthenozoospermia and low ejaculate volume. We performed transurethral resection of the ejaculatory duct (TUR-ED) using methylene blue vasography guidance without surgical-related complications. Hematospermia and painful ejaculation completely improved at 2-month followup, and the patient’s wife experienced a missed abortion thereafter. This patient was considered as a rare variant of Zinner’s syndrome and was managed effectively with a less invasive treatment modality (TUR-ED).

scholarly journals Rare Cause of Painful Ejaculation – Zinner’s Syndrome: A Case Report

2020 ◽  
Vol 3 ◽  
pp. 1
Author(s):  
Devimeenal Jaganathan ◽  
Gopinathan Kathirvelu ◽  
Suriyaprakash Nagarajan ◽  
Usha Nandhini Ganesan
Keyword(s):  
Seminal Vesicle ◽  
Renal Agenesis ◽  
Ejaculatory Duct ◽  
Resonance Imaging ◽  
Unilateral Renal Agenesis ◽  
Common Complaint ◽  
Radiologic Imaging ◽  
Rare Congenital Abnormality ◽  
Ejaculatory Duct Obstruction ◽  
Zinner’S Syndrome

Zinner’s syndrome is a rare congenital abnormality consisting of unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ipsilateral ejaculatory duct obstruction. The mutual embryological origins of the seminal vesicle and the ureteral bud from the Wolffian duct result in both anomalous seminal vesicle and urinary tracts. Most cases have nonspecific symptoms such as prostatism, urinary urgency, dysuria, painful ejaculation, and perineal discomfort. The usual presentation is between the third and fourth decades of life, with infertility being the most common complaint. Ultrasound and magnetic resonance imaging can easily detect this condition. We present here an extremely rare developmental anomaly involving the Wolffian ducts, which would remain undiagnosed but for radiologic imaging.

scholarly journals Zinner’s Syndrome – The Value of Clinical Imaging and Morphopathological Findings for Diagnosis

2019 ◽  
Vol 4 (4) ◽  
pp. 196-200
Author(s):  
Bogdan Călin Chibelean ◽  
Octavian Sabin Tătaru ◽  
Angela Borda ◽  
Andrada Loghin ◽  
Alin Nechifor-Boilă ◽  
...  
Keyword(s):  
Seminal Vesicle ◽  
Renal Agenesis ◽  
Histopathological Examination ◽  
Left Kidney ◽  
Correct Diagnosis ◽  
Bladder Wall ◽  
Digital Rectal Examination ◽  
Cystic Tumor ◽  
Magnetic Resonance Imaging Mri ◽  
Zinner’S Syndrome

Abstract Introduction: Cystic congenital malformations of the seminal vesicle are unusual. More than half of them are associated with ipsilateral renal agenesis. This disease was first described by Zinner in 1914, and since then, more than 200 cases have been reported. Most of the patients with this congenital disease present few symptoms until the middle-age. Case presentation: A 61-year-old male was referred to the Urology Clinic with intermittent pain and sensibility in his lower left abdomen in the last 12 months accompanied by intermittent bowel obstruction. The digital rectal examination could not assess the prostate due to a rectal stenosis. On computed tomography and magnetic resonance imaging (MRI) a cystic tumor with close relations with the bladder wall and prostate, associated with left kidney agenesis was identified. The cystic tumor was surgically removed. The histopathological examination of the tumor revealed a multilocular seminal vesicle cyst, with a muscular wall. Conclusions: Seminal vesicle cysts combined with ipsilateral renal agenesis are rare urological anomalies. Imaging allows a comprehensive investigation of renal and seminal vesicle anomalies. MRI seems to better visualize cysts and differentiate them from ureteroceles, while the histopathological examination contributes to a correct diagnosis. A multidisciplinary team (urologists, radiologists, and morphologists) is necessary for the proper diagnosis of Zinner’s syndrome.

scholarly journals Zinner’s Syndrome: A Rare Diagnosis of Dysuria Based on Imaging

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Ahmed Ibrahimi ◽  
Abdelmoughit Hosni ◽  
Idriss Ziani ◽  
Fatima Zahra Laamrani ◽  
Hachem El Sayegh ◽  
...  
Keyword(s):  
Seminal Vesicle ◽  
Imaging Techniques ◽  
Treatment Options ◽  
Pelvic Mass ◽  
Upper Urinary Tract ◽  
Perineal Pain ◽  
Voiding Symptoms ◽  
Magnetic Resonance Imaging Mri ◽  
Zinner’S Syndrome

Zinner’s syndrome is a rare congenital malformation of the seminal vesicle and ipsilateral upper urinary tract, due to developmental arrest in early embryogenesis of the Müllerian duct. Clinical presentation is nonspecific and includes voiding symptoms such as dysuria, ejaculatory disorders, and hypogastric or perineal pain. The diagnosis is made with imaging techniques, notably Magnetic Resonance Imaging (MRI) which remains the gold standard exam for diagnosis confirmation and therapeutic management. Treatment options depend on the severity of symptoms, the size of the cyst, and the complications. Herein, we report a rare case of a 33-year-old young patient who presented recurrent dysuria and ejaculatory disorders for the last 5 years. Imaging studies revealed an empty left renal fossa, with cystic pelvic mass related to the seminal vesicle and which was compatible with the diagnosis of Zinner’s syndrome. The patient underwent successful laparoscopic removal of the cyst and seminal vesicle, with total disappearance of urinary and sexual complaints with a 3-year follow-up.

scholarly journals Mucinous Adenocarcinoma Arising in Chronic Perianal Fistula: Good Results with Neoadjuvant Chemoradiotherapy Followed by Surgery

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Marisa D. Santos ◽  
Carlos Nogueira ◽  
Carlos Lopes
Keyword(s):  
Mucinous Adenocarcinoma ◽  
Neoadjuvant Chemoradiotherapy ◽  
Perianal Fistula ◽  
Endoscopic Examination ◽  
Resonance Imaging ◽  
Intestinal Lesion ◽  
Pelvic Magnetic Resonance Imaging ◽  
Magnetic Resonance Imaging Mri ◽  
Laparoscopic Abdominoperineal Resection

Chronic perianal fistulas are a common clinical condition. However, their evolution to adenocarcinoma is rare. We report the case of a 48-year-old man with perianal chronic fistulas, who developed two perianal ulcerated lesions near the external orifices of the fistulas, which extended proximally as a pararectal tumor. No intestinal lesion was seen at endoscopic examination. Histopathological biopsy indicated mucinous adenocarcinoma. Staging was performed by pelvic magnetic resonance imaging (MRI) and thoracoabdominal CT scan. The patient underwent a laparoscopic colostomy followed by neoadjuvant chemoradiotherapy and then laparoscopic abdominoperineal resection followed by adjuvant therapy. We have seen a favorable outcome with no recurrence at 3 years of follow-up.

scholarly journals Epithelioid Angiosarcoma Arising from a Huge Leiomyoma: A Case Report and a Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Takeya Hara ◽  
Ai Miyoshi ◽  
Yuji Kamei ◽  
Nao Wakui ◽  
Akiko Fujishiro ◽  
...  
Keyword(s):  
Resonance Imaging ◽  
Mesenchymal Tumors ◽  
Epithelioid Angiosarcoma ◽  
Pelvic Magnetic Resonance Imaging ◽  
Luminal Side ◽  
Atypical Cells ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Mitotic Figures ◽  
Abdominal Fullness

Uterine mesenchymal tumors other than leiomyosarcoma, carcinosarcoma, and endometrial stromal sarcomas are extremely uncommon. We describe a case of epithelioid angiosarcoma of the uterus and review previous literature on such rare tumors. A 48-year-old woman presented with a 1-year history of abdominal fullness and 10kg weight loss. Pelvic magnetic resonance imaging (MRI) revealed a huge (30×18cm) uterus accompanied by degeneration and necrosis. She underwent supracervical hysterectomy and right salpingo-oophorectomy. We postoperatively diagnosed the mass as an epithelioid angiosarcoma arising from a leiomyoma. Vasodilatation was observed within the range of 2 cm × several mm in the leiomyoma, and proliferation of atypical cells was observed covering the surface of the luminal side. The tumor showed a partly fine vascular structure and was associated with obvious nuclear atypia and mitotic figures. She received 6 courses of adjuvant chemotherapy with paclitaxel, epirubicin, and carboplatin, and there have been no signs of recurrence for 10 months.

scholarly journals Hepatoid Adenocarcinoma of the Urachus

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Daniel Fernando Gallego ◽  
Carlos Muñoz ◽  
Carlos Andrés Jimenez ◽  
Edwin Carrascal
Keyword(s):  
Magnetic Resonance Imaging ◽  
Poor Prognosis ◽  
Rare Condition ◽  
Hepatoid Adenocarcinoma ◽  
Resonance Imaging ◽  
Pelvic Magnetic Resonance Imaging ◽  
Multiple Organs ◽  
Remission Rates ◽  
Atypical Cells ◽  
Magnetic Resonance Imaging Mri

Hepatoid adenocarcinoma of the urachus is a rare condition. We present the case of a 51-year-old female who developed abdominal pain and hematuria. Pelvic magnetic resonance imaging (MRI) reported an urachal mass with invasion to the bladder that was resected by partial cystectomy. On light microscopy the tumor resembled liver architecture, with polygonal atypical cells in nest formation and trabecular structures. Immunochemistry was positive for alfa-fetoprotein (AFP) and serum AFP was elevated. Hepatoid adenocarcinomas have been reported in multiple organs, being most commonly found in the stomach and the ovaries. Bladder compromise has been rarely described in the literature, and it has been associated with poor prognosis, low remission rates, and early metastasis.

scholarly journals Molecular Theranostic Agents for Photodynamic Therapy (PDT) and Magnetic Resonance Imaging (MRI)

Inorganics ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 10 ◽  
Author(s):  
Sébastien Jenni ◽  
Angélique Sour
Keyword(s):  
Magnetic Resonance Imaging ◽  
Photodynamic Therapy ◽  
Magnetic Resonance ◽  
Parameters Optimization ◽  
Drug Uptake ◽  
Resonance Imaging ◽  
Invasive Treatment ◽  
Significant Information ◽  
Theranostic Agents ◽  
Magnetic Resonance Imaging Mri

Magnetic resonance imaging (MRI) is a powerful non-invasive diagnostic tool that can provide important insights for medical treatment monitoring and optimization. Photodynamic therapy (PDT), a minimally invasive treatment for various types of tumors, is drawing increasing interest thanks to its temporal and spatial selectivity. The combination of MRI and PDT offers real-time monitoring of treatment and can give significant information for drug-uptake and light-delivery parameters optimization. In this review we will give an overview of molecular theranostic agents that have been designed for their potential application in MRI and PDT.

scholarly journals Large Mucocele of the Appendix at Laparoscopy Presenting as an Adnexal Mass in a Postmenopausal Woman: A Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Elvira Paladino ◽  
Maria Bellantone ◽  
Francesca Conway ◽  
Francesco Sesti ◽  
Emilio Piccione ◽  
...  
Keyword(s):  
Case Report ◽  
Adnexal Mass ◽  
Negative Impact ◽  
Malignant Degeneration ◽  
Resonance Imaging ◽  
Sonographic Examination ◽  
Pelvic Magnetic Resonance Imaging ◽  
Appendiceal Mucocele ◽  
Mucocele Of The Appendix ◽  
Magnetic Resonance Imaging Mri

A 79-year-old female was referred to our Gynecologic Department presenting with a pelvic magnetic resonance imaging (MRI), showing an adnexal mass, later confirmed at the pelvic examination. The patient’s routine laboratory tests were normal. A sonographic examination was performed with inconclusive results. Although the ultrasonography excluded the presence of vascularization and malignant degeneration, the adnexal localization appeared to be dubious. The laparoscopy and the subsequent histologic examination revealed the presence of a mucocele of the appendix. The following case report focuses the attention on a misdiagnosis of appendiceal mucocele. The misdiagnosis caused no negative impact on the treatment that in this case was adequate and successful.

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