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Case report
Zinner’s syndrome, a retrospective series of three cases: different strategies to the same problem
  1. Teresa Pina-Vaz1,
  2. Nuno Dias2,
  3. Carlos Martins Silva3 and
  4. João Alturas Silva1
  1. 1Urology, Centro Hospitalar de Sao Joao EPE, Porto, Porto, Portugal
  2. 2Urology, Centro Hospitalar Universitario do Porto EPE, Porto, Porto, Portugal
  3. 3Urology, Centro Hospitalar Universitario de Sao Joao, Porto, Porto, Portugal
  1. Correspondence to Dr Teresa Pina-Vaz; teresa.vaz.rodrigues{at}gmail.com

Abstract

A 106 years have passed since Zinner’s syndrome was first described and current knowledge is still almost exclusively based on case reports. This article presents three patients with Zinner’s syndrome with different clinical presentations and consequent different treatment options, showing the possible full spectrum of this condition. The first patient presented with storage lower urinary tract symptoms and benefited from laparoscopic removal of the seminal vesicle. The second patient has an incidental diagnosis on CT and remains asymptomatic on follow-up. The third patient presented with persistent lumbar pain and underwent open surgical removal of the seminal vesicle. The authors further present a literature review of the current knowledge on this topic, hopefully to clarify the state of art and improve the management of these patients.

  • urinary and genital tract disorders
  • urological surgery
  • urology
  • congenital disorders

https://doi.org/10.1136/bcr-2021-242757

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    Footnotes

    • Contributors JAS was the primary physician of the patient presented in case reports 1 and 2 and CMS was the primary physician of the patient presented in case report 3. TP-V and ND participated in the surgical treatment of two of the three patients presented. TP-V wrote the manuscript and all other authors have contributed actively towards its construction and revision.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.