DOI: 10.36347/SJMCR.2019.v07i12.023

Pages: 803-806

Is an uncommon urogenital malformation of congenital seminal vesicle cyst associated with ipsilateral renal agenesis. It is considered to be the anomaly development in early embryogenesis affecting the distal part of Mullerian duct. A 25 year old man, Had history of monorchism, presented with left loin and ejaculatory pain, an abdomen-pelvis ultrasound (US) was performed and demonstrated left atrophic kidney and ureteric obstruction, the MRI images showed high signals left seminal vesicle cysts on T2 and T2 fat sat images which reflect inspissated secretion with ectopic insertion of the tortuous ureters into the cystic masses. Also, the left ejaculatory duct was untraceable suggesting obstruction (Zinner's Syndrome). The patient was conservatively treated as he refused any surgical intervention including cystic mass aspiration.