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Splenogonadal Fusion

Authors
Journal
Journal of the Formosan Medical Association
0929-6646
Publisher
Elsevier
Publication Date
Volume
107
Issue
11
Identifiers
DOI: 10.1016/s0929-6646(08)60206-5
Keywords
  • Case Reports
Disciplines
  • Medicine

Abstract

Splenogonadal fusion (SGF) is a rare congenital non-malignant anomaly characterized by fusion of splenic tissue to the gonad, and can be continuous or discontinuous. Very few cases have been diagnosed preoperatively, and many patients who present with testicular swelling undergo unnecessary orchiectomy under the suspicion of testicular neoplasm. A 16-year-old boy presented with a left scrotal mass and underwent total excision of a 1.6-cm tumor without damaging the testis, epididymis or its accompanying vessels. Pathologic examination revealed SFG (discontinuous type). If clinically suspected before surgery, the diagnosis may be confirmed by Tc-99m sulfur colloid imaging, which shows uptake in both the spleen and accessory splenic tissue within the scrotum. Frozen section should be considered if there remains any doubt regarding the diagnosis during operation.

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