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Unilateral renal agenesis with absent ductus deferens, epididymis and seminal vesicle: incidental finding in a 22-year-old patient with maldevelopment of the mesonephric duct.
Urol Int. 2011; 86(3):365-9.UI

Abstract

Unilateral renal agenesis with an absence of the seminal vesicle, epididymis and ductus deferens is rare and is the result of a developmental disorder of the mesonephric or Wolffian duct. We report the case of a 22-year-old man who presented with testicular pain on the left side of 3 weeks' duration. During the clinical investigation of the scrotum a nonpalpable ductus deferens on the left side was found incidentally. As a result of the urological ultrasound the diagnosis of renal, epididymal, seminal vesicle and ductus deferens agenesis on the left was confirmed. As a vascular variety the CT demonstrated 2 renal veins and 2 renal arteries on the right originating from the superior mesenteric artery together with the right hepatic artery. The testicular artery was placed on both sides. Further diagnostic investigations including a spermiogram, hormone analysis and kidney function tests were normal. Congenital urogenital malformations can be found in various combinations even in adults. Unilateral absence of the vas deferens during clinical examination should alert the clinician to an underlying renal, seminal vesicle and epididymal anomaly; further urological investigation is mandatory. A genetic investigation of the CFTR gene is not necessary in the absence of both ductus deferentes with renal agenesis.

Authors+Show Affiliations

Department of Urology, Medical University of Innsbruck, Anichstrasse 35, Innsbruck, Austria. renate.pichler@i-med.ac.atNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21160165

Citation

Pichler, Renate, et al. "Unilateral Renal Agenesis With Absent Ductus Deferens, Epididymis and Seminal Vesicle: Incidental Finding in a 22-year-old Patient With Maldevelopment of the Mesonephric Duct." Urologia Internationalis, vol. 86, no. 3, 2011, pp. 365-9.
Pichler R, Oswald J, Glodny B, et al. Unilateral renal agenesis with absent ductus deferens, epididymis and seminal vesicle: incidental finding in a 22-year-old patient with maldevelopment of the mesonephric duct. Urol Int. 2011;86(3):365-9.
Pichler, R., Oswald, J., Glodny, B., Skradski, V., Aigner, F., & Rehder, P. (2011). Unilateral renal agenesis with absent ductus deferens, epididymis and seminal vesicle: incidental finding in a 22-year-old patient with maldevelopment of the mesonephric duct. Urologia Internationalis, 86(3), 365-9. https://doi.org/10.1159/000322186
Pichler R, et al. Unilateral Renal Agenesis With Absent Ductus Deferens, Epididymis and Seminal Vesicle: Incidental Finding in a 22-year-old Patient With Maldevelopment of the Mesonephric Duct. Urol Int. 2011;86(3):365-9. PubMed PMID: 21160165.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Unilateral renal agenesis with absent ductus deferens, epididymis and seminal vesicle: incidental finding in a 22-year-old patient with maldevelopment of the mesonephric duct. AU - Pichler,Renate, AU - Oswald,Josef, AU - Glodny,Bernhard, AU - Skradski,Viktor, AU - Aigner,Friedrich, AU - Rehder,Peter, Y1 - 2010/12/16/ PY - 2010/07/12/received PY - 2010/10/17/accepted PY - 2010/12/17/entrez PY - 2010/12/17/pubmed PY - 2011/9/16/medline SP - 365 EP - 9 JF - Urologia internationalis JO - Urol Int VL - 86 IS - 3 N2 - Unilateral renal agenesis with an absence of the seminal vesicle, epididymis and ductus deferens is rare and is the result of a developmental disorder of the mesonephric or Wolffian duct. We report the case of a 22-year-old man who presented with testicular pain on the left side of 3 weeks' duration. During the clinical investigation of the scrotum a nonpalpable ductus deferens on the left side was found incidentally. As a result of the urological ultrasound the diagnosis of renal, epididymal, seminal vesicle and ductus deferens agenesis on the left was confirmed. As a vascular variety the CT demonstrated 2 renal veins and 2 renal arteries on the right originating from the superior mesenteric artery together with the right hepatic artery. The testicular artery was placed on both sides. Further diagnostic investigations including a spermiogram, hormone analysis and kidney function tests were normal. Congenital urogenital malformations can be found in various combinations even in adults. Unilateral absence of the vas deferens during clinical examination should alert the clinician to an underlying renal, seminal vesicle and epididymal anomaly; further urological investigation is mandatory. A genetic investigation of the CFTR gene is not necessary in the absence of both ductus deferentes with renal agenesis. SN - 1423-0399 UR - https://www.unboundmedicine.com/medline/citation/21160165/Unilateral_renal_agenesis_with_absent_ductus_deferens_epididymis_and_seminal_vesicle:_incidental_finding_in_a_22_year_old_patient_with_maldevelopment_of_the_mesonephric_duct_ L2 - https://www.karger.com?DOI=10.1159/000322186 DB - PRIME DP - Unbound Medicine ER -