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Journal de l association des urologues du Canada, Canadian Urological Association Journal, 7-8(9), p. 535

DOI: 10.5489/cuaj.2451

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

Journal article published in 2015 by Nicola Pavan, Stefano Bucci, Giorgio Mazzon, Michele Bertolotto ORCID, Carlo Trombetta, Giovanni Liguori
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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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. © 2015 Canadian Urological Association.