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Síndrome de Zinner Online (Zinner Syndrome)

Por Paulo Leite 03/11/2019

¨Cistos congênitos da vesícula seminal (CSVCs) associados a anomalias do trato urinário superior ipsilateral são incomuns. Essa condição foi relatada como “síndrome de Zinner” (ZS) e é considerada a contraparte masculina da síndrome de Mayer-Rokitansky-Kuster-Hauser. O ZS pode ser assintomático e relatado incidentalmente ou pode estar associado a sintomas inespecíficos, como disúria, infecções do trato urinário (ITU), disfunção da bexiga e infertilidade. Quando sintomática, se da pelo tamanho do cisto da vesícula seminal (maior que 5 cm). O diagnóstico exige ser alcançado na idade pediátrica, pois é realizado principalmente na idade adulta, durante o período da atividade sexual. O tratamento de CSVCs é necessário se houver sintomas, pois a abordagem cirúrgica é desafiadora. Além disso, a cirurgia está associada a muitas complicações, devido à localização profunda das vesículas seminais e à dissecção exigente dos cistos no espaço retrovesical.¨

■ Zinner syndrome in pediatric age: issues in the diagnosis and treatment of a rare malformation complex

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Front Pediatr 2019, vol 7: 129

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465625/

■ Incidental finding of Zinner syndrome in a Greek military recruit: a case report of a rare clinical entity

Evangelos N. Symeonidis, Chrysovalantis Gkekas, Ioannis Tsifountoudis et al

Mil Med Res. 2019; 6: 4.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375168/

■ Zinner syndrome mimicking bladder outlet obstruction managed with aspiration

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Urol Ann. 2019 Oct-Dec; 11(4): 449–452

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6798291/

■ The association of renal agenesis and ipsilateral seminal vesicle cyst: Zinner syndrome case report

Mishal AlArifi, Magdi Al-Gahwary, Mohamed Gomha

Case Rep Urol. 2019; 2019: 1242149

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■ Zinner syndrome presenting with intermittent scrotal pain in a young man

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Radiol Case Rep 2018, vol13 (6):12224-1227

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148829/

■ Robot-assisted excision of congenital mega-seminal vesicle asociated with Zinner´s syndrome

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Journal of Endoneurology Case Reports 2018, vol 4 (1)

https://www.liebertpub.com/doi/10.1089/cren.2018.0047

■ Zinner syndrome diagnosed by magnetic resonance imaging and computed tomography: role of imaging to identify and evaluate the uncommon variation in development of the male genital tract

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Radiol Case Rep. 2017 Mar; 12(1): 54–58

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5310246/

■ Zinner syndrome: an unusual cause of bladder outflow obstruction

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■ Zinner syndrome – a rare developmental anomaly ot the mesonephric duct diagnosed on magnetic resonance imaging

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■ Síndrome de Zinner en paciente afecto de síndrome de Kallmann: rara asociación de 2 malformaciones embrionárias

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■ Endourologic intervention for management of infertility in a man with Zinner syndrome resulting in a natural pregnancy

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■ Renal-type clear cell carcinoma occurring in the prostate with Zinner syndrome

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Urol Case Rep. 2016 Mar; 5: 9–12

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719893/

■ Congenital seminal vesicle cyst and ipsilateral renal agenesis (Zinner syndrome): a rare association and its evolution from early childhood to adolescence

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■ Zinner syndrome: na uncommon cause of painful ejaculation

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

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■ Síndrome de Zinner: relato de caso clínico

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■ Laparoscopic surgery for seminal vesicle cysts and ureterocele with urination disorder: a case report of Zinner syndrome

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Journal of Endourology Case Reports 2018, vol 4 (1)

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■ Quiste de vesícula seminal con agenesia renal asociado a malformaciones vasculares: Presentación de un caso

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http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0004-06142007000900016&lng=es&nrm=iso

■ Dr Paulo Fernando Leite

Cardiologia/Prevenção Cardiovascular

Estratificação de Risco Cardiovascular

Consultório: Rua Padre Rolim 815/sala 601

Tel: 33245518

CRMMG: 7026

Email: pfleite1873@gmail.com

Data: nov 2019

Exercício, Esporte & Doença Respiratória Online (Exercise, Sport & Respiratoria Disease)

Por Paulo Leite 01/11/2019

■ Asthma and exercise-induced respiratory disorders in athletes. The position paper of the Polish Society of Allergology and Polish Society of Sports Medicine

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■ Pulmonary and respiratory muscle function in response to marathon and ultra-marathon running: a review

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Sports Medicine 2019, vol 49 (7): 1031-1041

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■ Predictors and reproducibility of exercise-induced bronchoconstriction in cold air

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Breathe (Sheff) 2018 Sep; 14(3): 186–19

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■ Assessing exercise-induced bronchoconstriction in children; The need for testing

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■ Exercise-induced bronchoconstriction, temperature regulation and the role of heat shock proteins in non-asthmatic recreational marathon and half-marathon runners

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■ Exercise training in pulmonary arterial hypertension

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■ Upper respiratory symptoms, gut health and mucosal immunity in athletes

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■ Effect of smoking and physical activity on the pulmonary function of young university nursing students in Cáceres (Spain)

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■ Facilitators and barriers to physical activity following pulmonar rehabilitation in COPD: a systematic review of qualitative studie

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■ Physiotherapy improves symptoms of exercise-induced laryngeal obstruction in young elite athletes: a case series

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■ Exercise-induced bronchospasm and allergy

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■ Eight weeks of inspiratory muscle training improves pulmonar function in disabled swimmers- a randomized trial

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■ Systemic and airways oxidative stress in competitive swimmers training in indoor chhorinated swimming pools

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■ Ergoespirometria Online (Cardiopulmonary Exercise Testing no Blog Internet Médica

https://internetmedica.com.br/ergoespirometria-cardiopulmonary-exercise-testing-online/

■ Reabilitação Pulmonar Online (Pulmonary Rehabilitation

https://internetmedica.com.br/reabilitacao-pulmonar-online-pulmonary-rehabilitation/