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Wiederholte Spermiogramme zeigten eine Azoospermie bei saurem pH-Wert. Sonographisch zeigte sich ein unauff\u00e4lliges Hodenparenchym bei normalem Hodenvolumen beidseits, die Samenstr\u00e4nge waren jedoch weder palpatorisch noch sonographisch sicher abgrenzbar. Im MRT zeigte sich ein zystisch erweitertes linkes Vas deferens, eine erweiterte linke Samenblase sowie ein nicht darstellbares rechtes Vas deferens. 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