# Robotic-assisted management of Zinner syndrome: a case report and review of the surgical approach

**Authors:** Bader Alsaikhan, Ahmed Alasker, Ahmed Nazer, Mohammad Alkhamees, Mohammad Alghafees, Abdulrahman A Bin Moammar, Turki Alferayan, Mohammed Alrashed, Abdulaziz Abdullah Alohali, Abdulaziz Almanie

PMC · DOI: 10.1093/jscr/rjaf162 · Journal of Surgical Case Reports · 2025-07-17

## TL;DR

A 21-year-old man with Zinner syndrome was successfully treated using robotic surgery, which allowed for precise removal of a large cyst without damaging nearby structures.

## Contribution

This case highlights the successful use of robotic-assisted surgery for managing Zinner syndrome with minimal complications.

## Key findings

- Robotic excision of a seminal vesicle cyst was performed successfully with no complications.
- The patient experienced optimal outcomes and preservation of adjacent anatomical structures.
- Early surgical intervention is crucial for symptom resolution and improved quality of life in Zinner syndrome.

## Abstract

Zinner syndrome typically presents in young adulthood with nonspecific symptoms, making diagnosis challenging. A 21-year-old male presented with pelvic and lower abdominal pain. Imaging revealed a right seminal vesicle cyst measuring 8.2 × 6.4 × 5.1 cm and ipsilateral renal agenesis. The patient underwent robotic excision of the right seminal vesicle cyst with complete excision of a cyst containing 150 cc of fluid without complications, preserving adjacent anatomical structures. The precision and minimal invasiveness of this approach lead to optimal outcomes in treating this condition. Early recognition and surgical intervention are crucial for symptom resolution and improved quality of life.

## Linked entities

- **Diseases:** Zinner syndrome (MONDO:0100109)

## Full-text entities

- **Diseases:** pelvic and lower abdominal pain (MESH:D015746), Zinner syndrome (MESH:D013577), cyst (MESH:D003560), renal agenesis (MESH:C536482), seminal vesicle cyst (MESH:C537244)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

4 references — full list in the complete paper: https://tomesphere.com/paper/PMC12266954/full.md

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Source: https://tomesphere.com/paper/PMC12266954