Wolffian system agenesis with contralateral ejaculatory duct stenosis: First case in the literature

Özet

Congenital agenesis of seminal vesicles and vas deferens is rare and its co-existence with structural abnormality on the contralateral side is even rarer. We report a case of an adult male presenting with infertility dueto obstructive azoospermia, in which transrectal ultrasonography (TRUS) and magnetic resonance imaging(MRI) revealed the agenesis of Wolffian derivatives on the left side with stenosis of the ejaculatory duct onthe contralateral side. This dual combination of uncommon anomalies is the rarest phenomenon and posesas a diagnostic dilemma for the radiologist. Emphasis is given to MRI as a one-stop shop modality in theevaluation of complete genitourinary system; as well as on the importance of TRUS as a screening tool inpatients with infertility due to obstructive azoospermia.