Background: Zinner syndrome represents a rare congenital malformation of the urinary tract. It comprises a constellation of Wolffian duct anomalies and is almost exclusively encountered as a classic triad of seminal v...Background: Zinner syndrome represents a rare congenital malformation of the urinary tract. It comprises a constellation of Wolffian duct anomalies and is almost exclusively encountered as a classic triad of seminal vesicle cysts, ejaculatory duct obstruction and renal agenesis. Patients can be either asymptomatic or symptomatic. Recently, minimally invasive surgical techniques have emerged, superseding traditional surgery for select symptomatic cases. Our case highlights the finding of a rare clinical syndrome that was incidentally detected during a routine mass screening of military recruits in the Greek Armed Forces.Case presentation: Herein, we present a case of a 19-year-old male who reported having a solitary right kidney when examined in a military training center of Northern Greece. No additional clinical information was available;thus, referral to a tertiary urology department for further investigation ensued. Imaging studies, namely, computed tomography and magnetic resonance imaging, revealed left renal aplasia, multiple left seminal vesicle cysts, and ejaculatory duct obstruction. Laboratory values and urinalysis were within normal range. Semen analysis was significant for cryptozoospermia. Our patient remained asymptomatic during the entire hospitalization. Long-term follow-up was recommended. Nevertheless, he declined further investigation and sought treatment in a private practice setting.Conclusions: This article aims to present the incidental diagnosis of a rare syndrome in a military setting. Population screening conducted in the armed forces permits the identification of undiagnosed diseases that warrant further investigation. To the best of our knowledge, this was the first report of Zinner syndrome in a military recruit and the second case cited of a Greek patient in the published literature. Regular follow-up is the key to timely intervention in conservatively managed cases.展开更多
目的了解2015年入伍新兵骨密度情况及饮食习惯对其骨密度(Bone Mineral Density,BMD)的影响。方法对天津市武警新训团2015年入伍新兵行骨密度测定:利用双能X线骨密度测定仪测量非惯用手的第二、第三、第四手指相对骨密度,根据骨密度结...目的了解2015年入伍新兵骨密度情况及饮食习惯对其骨密度(Bone Mineral Density,BMD)的影响。方法对天津市武警新训团2015年入伍新兵行骨密度测定:利用双能X线骨密度测定仪测量非惯用手的第二、第三、第四手指相对骨密度,根据骨密度结果选择骨密度值正常组及骨密度值低下组,采用问卷的方式对其饮食习惯进行回顾性调查,以分析饮食因素对骨密度的影响。结果采用卡方检验及Logistic回归分析。结果新入伍官兵的骨密度情况:Z值>-1的人数为804人,占39.7%;Z值在-1^-2.5的人数为1112人,占55.0%;Z值在<-2.5的人数为107人,占5.3%。单因素结果表明:高动物性膳食、饮用乳制品、咖啡以及曾使用补钙制剂具有统计学意义。多因素Logistic回归分析则显示:高动物性食物膳食模式是危险因素(P<0.05);而饮用乳制品和曾服用补钙制剂则为保护因素(P<0.05)。结论影响新入伍官兵骨密度水平的危险因素是:高动物性食物膳食模式;保护因素是:饮用乳制品和曾服用补钙制剂。展开更多
文摘Background: Zinner syndrome represents a rare congenital malformation of the urinary tract. It comprises a constellation of Wolffian duct anomalies and is almost exclusively encountered as a classic triad of seminal vesicle cysts, ejaculatory duct obstruction and renal agenesis. Patients can be either asymptomatic or symptomatic. Recently, minimally invasive surgical techniques have emerged, superseding traditional surgery for select symptomatic cases. Our case highlights the finding of a rare clinical syndrome that was incidentally detected during a routine mass screening of military recruits in the Greek Armed Forces.Case presentation: Herein, we present a case of a 19-year-old male who reported having a solitary right kidney when examined in a military training center of Northern Greece. No additional clinical information was available;thus, referral to a tertiary urology department for further investigation ensued. Imaging studies, namely, computed tomography and magnetic resonance imaging, revealed left renal aplasia, multiple left seminal vesicle cysts, and ejaculatory duct obstruction. Laboratory values and urinalysis were within normal range. Semen analysis was significant for cryptozoospermia. Our patient remained asymptomatic during the entire hospitalization. Long-term follow-up was recommended. Nevertheless, he declined further investigation and sought treatment in a private practice setting.Conclusions: This article aims to present the incidental diagnosis of a rare syndrome in a military setting. Population screening conducted in the armed forces permits the identification of undiagnosed diseases that warrant further investigation. To the best of our knowledge, this was the first report of Zinner syndrome in a military recruit and the second case cited of a Greek patient in the published literature. Regular follow-up is the key to timely intervention in conservatively managed cases.
文摘目的了解2015年入伍新兵骨密度情况及饮食习惯对其骨密度(Bone Mineral Density,BMD)的影响。方法对天津市武警新训团2015年入伍新兵行骨密度测定:利用双能X线骨密度测定仪测量非惯用手的第二、第三、第四手指相对骨密度,根据骨密度结果选择骨密度值正常组及骨密度值低下组,采用问卷的方式对其饮食习惯进行回顾性调查,以分析饮食因素对骨密度的影响。结果采用卡方检验及Logistic回归分析。结果新入伍官兵的骨密度情况:Z值>-1的人数为804人,占39.7%;Z值在-1^-2.5的人数为1112人,占55.0%;Z值在<-2.5的人数为107人,占5.3%。单因素结果表明:高动物性膳食、饮用乳制品、咖啡以及曾使用补钙制剂具有统计学意义。多因素Logistic回归分析则显示:高动物性食物膳食模式是危险因素(P<0.05);而饮用乳制品和曾服用补钙制剂则为保护因素(P<0.05)。结论影响新入伍官兵骨密度水平的危险因素是:高动物性食物膳食模式;保护因素是:饮用乳制品和曾服用补钙制剂。
