Evidence map›Paper›PMID 31024871›Full record

ArticleFrontiers in pediatrics2019

Zinner Syndrome in Pediatric Age: Issues in the Diagnosis and Treatment of a Rare Malformation Complex.

Valentina Cascini, Dacia Di Renzo, Vittorio Guerriero, Giuseppe Lauriti, Pierluigi Lelli Chiesa

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 36 citations in OpenAlex.

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  15. Zinner syndrome - case report.Medicine and pharmacy reports · 2021
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  16. Zinner Syndrome with Papillary Neoplasm: A Rare Case Report.Journal of Indian Association of Pediatric Surgeons
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Valentina CasciniDepartment of Pediatric Surgery, Spirito Santo Hospital of Pescara, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy.
Dacia Di RenzoDepartment of Pediatric Surgery, Spirito Santo Hospital of Pescara, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy.
Vittorio GuerrieroDepartment of Pediatric Surgery, Spirito Santo Hospital of Pescara, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy.
Giuseppe LauritiDepartment of Pediatric Surgery, Spirito Santo Hospital of Pescara, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy.
Pierluigi Lelli ChiesaDepartment of Pediatric Surgery, Spirito Santo Hospital of Pescara, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy.
University of Chieti-Pescara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Zinner syndrome (ZS) is the association of congenital seminal vesicle cysts and ipsilateral upper urinary tract anomalies, such as multicystic displastic kidney (MCDK). This condition is rare in pediatric age and both diagnosis and treatment are challenging. The aim of this study was to analyze the issues in diagnosis, management, and treatment of ZS in pediatric age. The medical records of two patients with ZS were examined. Furthermore, a review of the literature on this topic in pediatric age was performed. In our experience the diagnosis of ZS was incidentally achieved in the first months of life, as a consequence of studies performed for a prenatal diagnosis of MCDK. The first patient presented unspecific and transient symptoms, the second infant was completely asymptomatic. They were conservatively treated, with a long-term follow-up planned at least until adolescence. Fifty cases of ZS in pediatric age have been reported in the literature up to now. Only 12/50 were diagnosed in the first year of life. The diagnosis was demanding, as the clinical presentation was unspecific and the results at imaging studies needed a differential diagnosis with other retrovesical masses. More than 80% of these cases were asymptomatic at long-term follow-up. Therefore, a conservative management of ZS has been accepted for asymptomatic or poorly symptomatic patients, with occasional, transient, and unspecific symptoms, such as urinary tract infections or orchyepididimytis. As the surgical management is challenging, it is proposed only in those symptomatic patients. In conclusion, ZS is rare in pediatric age. However, it should be considered in the differential diagnosis of cystic masses within the pelvis in males with ipsilateral renal anomalies. A conservative treatment with a long-term follow-up is a safe option in the management of asymptomatic or poorly symptomatic patients, thus reserving the surgical approach only in those cases with symptoms.

Indexed as

conservative treatmentcystminimally invasive treatmentrenal agenesisseminal vesicleZinner syndrome

Identifiers

PMID31024871
PMCPMC6465625
OpenAlexW2936093357

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.