Splenogonadal fusion – rarity for pathologist and urologist
Authors:
Eliška Tvrdíková 1; Jan Mazanec 1; Mariana Plevová 2; Aleš Čermák 2; Jaroslav Sedmík 3
Authors‘ workplace:
Ústav patologie, FN Brno, LF MU, Brno
1; Urologická klinika, FN Brno, LF MU, Brno
2; Klinika radiologie a nukleární medicíny, FN Brno, LF MU, Brno
3
Published in:
Ces Urol 2018; 22(3): 203-208
Category:
Case report
Overview
Splenogonadal fusion (SGF) is a unique developmental malformation that results in the ectopic occurrence of spleen tissue in the gonad. 135 years have passed since its first mention, nonetheless the etiology remains unclear. By maintaining communication with the spleen via a ligament, we can differentiate between two types of SGF (continuous and discontinuous). Some of the cases are associated with the occurrence of cryptorchism. There is no typical clinical picture of this lesion and it can mimic a tumor of the testicle. Preoperative identification of SGF is difficult and does not occur until a histopathological examination. The following is a case of splenogonadal fusion in a 25-year‑old man who was urologically examined and treated for a suspected tumor of the testis.
KEY WORDS
Cryptorchism, malformation, spina bifida, splenogonadal fusion.
Sources
1. Falah KM, Hama MA, Yasseen HA, Abdullah AM, Abdulla GF. Splenogonadal fusion: a rare case report. Annals of Pathology and Laboratory Medicine 2015; 2(1): C38-C41.
2. Meena D. Splenogonadal fusion: accurate radiological diagnosis avoids maltreatment. PARIPEX‑Indian Journal of Research. 2016; 5(4): 535–537.
3. Kumar S, Jayant K, Agrawal S, Parmar KM, Singh SK. A rare case of continuous type splenogonadal fusion in a young male with primary infertility. Case Rep Urol. 2014; 2014: 1–3.
4. Chandramohan A, Krishna A, Kumar R. Spleno‑gonadal fusion mimics testicular neoplasm on ultrasound. Med Surg Urol. 2014; 3(3): 144.
5. Farzaneh MR, Abbasi MZ, Amini B. Splenogonadal fusion operated as a malignant tumor. Iran J Med Sci. 2010; 35(2): 157-159.
6. Malik RD, Liu DB. An unusual case of an acute scrotum. Rev Urol. 2013; 15(4): 197–201.
7. Morgado M, Albuquerque J, Gonçalves M. Splenogonadal fusion – rare etiology testicular mass. J Ped Surg Case Report. 2016; 10: 39–41.
8. Hes O, Michal M, Mukenšnabl P, et al. Nádory varlat. 1. vydání. Plzeň: Euroverlag 2007: 310-312.
9. Duhli N, Venkatramani V, Panda A, Manojkumar R. Splenogonadal fusion: pathological features of a rare scrotal mass. Indian J Pathol Microbiol. 2013; 56(4): 474–476.
Labels
Paediatric urologist Nephrology UrologyArticle was published in
Czech Urology
2018 Issue 3
Most read in this issue
- Extended recommendation for management of paediatric enuresis
- Impact of stone density and size on the effect of flexible ureterorenoscopy with laser lithotripsy
- Frequency of intermittent catheterization in patients with spinal cord lesion
- Adenocarcinoma of sigmoid bladder augmentation