It’s not always varicocele: A strange case of Zinner syndrome

Authors

  • Nicola Pavan Trieste University, Urology Department Cattinara Hospital
  • Stefano Bucci Trieste University, Urology Department Cattinara Hospital
  • Giorgio Mazzon Trieste University, Urology Department Cattinara Hospital
  • Michele Bertolotto Trieste University, Radiology Department Cattinara Hospital
  • Carlo Trombetta Trieste University, Urology Department Cattinara Hospital
  • Giovanni Liguori Trieste University, Urology Department Cattinara Hospital

DOI:

https://doi.org/10.5489/cuaj.2451

Keywords:

Maldevelopment, paratesticular mass, ultrasound, varicocele, Zinner’s Syndrome,

Abstract

A 42-year-old man presented with a huge varicocele. The patient was completely asymptomatic and he did not complain of dysuria, perineal discomfort, or ejaculatory pain. During the visit, the mass mimicked a varicocele and during the Valsalva maneuver a reflux was documented by colour Doppler ultrasound and an abdominal ultrasound revealed an agenesis of the right kidney and a 4.5-cm diameter intra-prostatic cyst. An abdominal and pelvis magnetic resonance imaging was then performed, which confirmed the right renal agenesis, with an epididymal enlargement in the body and tail. This is a unique case of Zinner syndrome in which the patient presented with a paratesticular mass mimicking a varicocele.

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Published

2015-07-17

How to Cite

Pavan, N., Bucci, S., Mazzon, G., Bertolotto, M., Trombetta, C., & Liguori, G. (2015). It’s not always varicocele: A strange case of Zinner syndrome. Canadian Urological Association Journal, 9(7-8), E535–8. https://doi.org/10.5489/cuaj.2451

Issue

Section

Case Report