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Zinner’s Syndrome: A Confusing Diagnosis in the Face of Chronic Disabling Perineoscrotal Pain in the Young Subject, about a Case

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Case Reports in Clinical Medicine 2021年第5期10卷 141-145页

作者： Ntambwe Nkashama Jean-Louis Mouhssine Errehan Kwizera Juvenal Mamoutou Mody Keita Lakmichi Mohamed Amine dahami zakaria Moudouni Mohamed Sarf Ismail Service d’Urologie Chu Mohamed Vi De Marrakech Marrakech Maroc

Zinner syndrome is a rare congenital malformation related to an abnormality in the development of the Wolffian duct, the clinical picture of which consists of a triad of unilateral renal agenesis, ipsilateral seminal vesicle cyst, and obstruction of the ejaculatory duct. Chronic perineoscrotal pain may be an indication of the diagnosis of Zïnner syndrome to some extent. We report the observation of a 23-year-old patient, married and father of one child, who presented with chronic perineo-scrotal pain revealing on morphological assessment (ultrasound, uroscanner, prostatic MRI) a cystic formation of the seminal vesicle, left renal agenesis with an empty left renal compartment. Given the patient’s refusal of any surgical procedure, treatment consisted of echo-guided puncture of the seminal vesicle cyst bringing back 30 cc of a seroviscous liquid whose analysis revealed spermatozoa, without atypical cells, compatible with a cyst. The clinical evolution was marked by a progressive remission of the scrotal pain with a delay of several months.

关键词： Agenesis Congenital Malformation Kidney Perineoscrotal Pain Seminal Vesicles Zinner’s Syndrome

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Renal Pleomorphic Sarcoma in Polycystic Kidney Disease: Case Report

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Open Journal of Radiology 2012年第3期2卷 65-67页

作者： N. Cherif Idrissi El Ganouni M. Ouali Idrissi Karima Jiddi Z. dahami F. Barjani I. Sarf B. Belaabidia O. Essadki A. Ousehal Department of Pathology University Hospital Mohammed VI Marrakesh Morocco Department of Radiology University Hospital Mohammed VI Marrakesh Morocco Department of Urology University Hospital Mohammed VI Marrakesh Morocco

We report a case of pleomorphic sarcoma in a 42-year-old man with adult polycystic kidney disease [APKD]. Abdominal ultrasonography, computed tomography and MRI scans have revealed heterogenous bilateral renal cysts with a voluminous mass in the upper pole left kidney. Radical left nephrectomy with histopathologic and immunohistologic examination have confirmed the diagnosis of pleomorphic sarcoma. Sarcoma associated with adult polycystic kidney disease is extremely rare and does not have particular radiological or biological features when compared to primary renal sarcoma.

关键词： Polycystic Kidney Disaese Pleomorphic Sarcoma

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