{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T07:14:56Z","timestamp":1773299696460,"version":"3.50.1"},"reference-count":19,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,2,13]]},"abstract":"<jats:p>Zinner syndrome refers to the triad of ipsilateral renal agenesis, seminal vesicle cysts and ejaculatory duct obstruction. Ipsilateral renal agenesis may be associated with seminal vesicle cysts in 70% of cases, but a remnant ureteral bud has been shown to coexist in only 27% of these cases. While some patients may remain asymptomatic and are discovered incidentally, others present with symptoms related to seminal vesicle cysts or ejaculatory duct obstruction: voiding or ejaculatory difficulty or pain. The diagnosis is made with imaging findings, and differentiation from other pelvic cysts requires a multimodality approach. In this report, we present typical imaging findings of a patient who presented with painful ejaculation where there was a congenital seminal vesicle cyst with ipsilateral renal agenesis associated with a remnant ureteral bud draining into the seminal vesicle cyst and also associated with a cyst of the prostatic utricle. We discuss the relevant embryological basis for this unusual combination of findings.<\/jats:p>","DOI":"10.1136\/bcr-2014-207618","type":"journal-article","created":{"date-parts":[[2015,3,6]],"date-time":"2015-03-06T08:26:28Z","timestamp":1425630388000},"page":"bcr2014207618","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":20,"title":["Zinner syndrome: an uncommon cause of painful ejaculation"],"prefix":"10.1136","volume":"2015","author":[{"given":"Raghav","family":"Sundar","sequence":"first","affiliation":[{"name":"National University Health System, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaurav","family":"Sundar","sequence":"additional","affiliation":[{"name":"Department of Radiology, Division of Vascular and Interventional Radiology, Christian Medical College, Vellore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,3,6]]},"reference":[{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.1","first-page":"605","article-title":"Ein fall von intravesikaler Samenblasenzyste","volume":"64","author":"Zinner","year":"1914","journal-title":"Wien Med Wochenschr"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.2","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/16.2.282"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.3","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.149.1.139"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.4","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.149.1.6611933"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.5","doi-asserted-by":"publisher","DOI":"10.1159\/000282451"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.6","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/S0022-5347(17)59657-3","article-title":"Seminal vesicle cyst associated with ipsilateral renal agenesis: case report and review of literature","volume":"112","author":"Beeby","year":"1974","journal-title":"J Urol"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.7","doi-asserted-by":"publisher","DOI":"10.1148\/114.3.575"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.8","doi-asserted-by":"crossref","first-page":"1543","DOI":"10.1016\/S0022-5347(17)36964-1","article-title":"Papillary adenocarcinoma in a seminal vesicle cyst associated with ipsilateral renal agenesis: a case report","volume":"148","author":"Okada","year":"1992","journal-title":"J Urol"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.9","doi-asserted-by":"publisher","DOI":"10.1007\/BF02583028"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.10","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.1870190103"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.11","doi-asserted-by":"publisher","DOI":"10.1148\/114.3.693"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.12","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.178.1.1984306"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.13","doi-asserted-by":"crossref","first-page":"225","DOI":"10.7863\/jum.2003.22.2.225","article-title":"Renal agenesis and seminal vesicle cyst","volume":"22","author":"Narlawar","year":"2003","journal-title":"J Ultrasound Med"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.14","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000088339.38119.40"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.15","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.207.1.9530314"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.16","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/31818161"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.17","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-013-0412-4"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.18","doi-asserted-by":"publisher","DOI":"10.4293\/108680813X13753907291477"},{"key":"2025082700071768000_2015.mar06_1.bcr2014207618.19","doi-asserted-by":"publisher","DOI":"10.5173\/ceju.2012.03.art9"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-207618","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:07:24Z","timestamp":1756278444000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-207618"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,3,6]]},"references-count":19,"alternative-id":["10.1136\/bcr-2014-207618"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-207618","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,3,6]]}}}