La tunisie Medicale - 2022 ; Vol 100 ( n°010 ) : 730-732
[ 1237 times seen ]
Summary

Introduction : Splenogonadal fusion is a rare congenital anomaly. The aim of this study was to report a case of splenogonadal fusion mimicking a spermatic cord cyst, and discuss therapeutic management of this rare congenital malformation.
Observation : An eight-years old patient was presented with an asymptomatic three-centimeter oval scrotal mass mistaken for a spermatic cord cyst. Surgical exploration has revealed tow purple-red, firm encapsulated masses. The first mass was two cm long and adherent to the upper pole of the left testis with a cleavage plane. The second mass was four cm long, attached to the first by a fibrous cord and drawn on its superior pole by a serpiginous vascular structure that extended inside the abdomen. The spermatic cord was individualized. Extemporaneous anatomopathological examination of the first mass, totally excised, has concluded to benign lesion. Therefore, the peritoneum was opened, and the superior mass was excised as high as it could be reached without orchiectomy. Definitive Anatomopathological examination concluded to an ectopic splenic tissue. The final diagnosis was a continuous splenogonadal fusion.
Conclusion : This case highlights the clinical characteristics of this condition, with a special focus on the signs and findings that might help prevent unnecessary orchiectomy. Consequently, it is essential to include this malformation in the differential diagnosis of scrotal masses in children.

Key - Words
Article
Reference
  1. Seegmiller AC, Kroft SH, Karandikar NJ, McKenna RW. Rena D. Malik, Ennis B. Liu. Splenogonadal Fusion: an unusual case of an acute scrotum. Rev Urol 2013; 15: 197-201.
  2. Christine S Lin, Jennifer L Lazarowicz, Robert W Allan Matthias Trottmann, Julian Marcon, Dirk-Andre Clevert. Splenogonadal fusion. J Urol 2010; 184: 332-333.
  3. Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D; CARE Group*. The CARE guidelines: Consensus-based clinical case reporting guideline development. Glob Adv Health Med. 2013 Sep; 2(5):38-43
  4. Sergio Grosu, Johannes Rübenthaler, Thomas Knösel, Matthias Trottmann, Julian Marcon, Dirk-Andre Clevert. Splenogonadal fusion evaluation using contrast enhanced ultrasound and elastography. A case report. Med Ultrason 2019; 21: 356-358.
  5. Matthew John Seager, Sarah Alexander, Asif Muneer, Miles Walkden. Splenogonadal fusion: A rare paratesticular lesion and how to recognise it on ultrasound. Ultrasound 2020; 28: 54-57.
  6. Guizhen Huang, Yidong Huang, Li Zeng, Miao Yuan, Yang Wu, Lugang Huang. Continuous-type splenogonadal fusion: A case report. Exp Ther Med 2017; 13: 2019-2021.
  7. O. Karray, A. Oueslati, M. Chakroun, Ayed H, Bouzouita A, Cherif M et al. Splenogonadal fusion - a rare cause of scrotal swelling: a case report. J Med Case Rep 2018; 12: 172.
  8. J Preece, S Phillips, V Sorokin, Herz D. Splenogonadal fusion in an 18-month-old. J Pediatr Urol 2017; 13: 214-215.
  9. Khairat AB, Ismail AM. Splenogonadal fusion: case presentation and literature review. J Pediatr Surg 2005; 40: 1357-1360.
Login
E-mail :
Password :
Remember Me Forgot password? Sign UP
Archives
2023
January
February
March
April
May
June
July
August
September
October
November
December
Keywords most used
Tunisia treatment Child diagnosis surgery prognosis epidemiology Children Risk factors prevalence Crohn’s disease Breast cancer obesity Cancer screening
Newsletter
Sign up to receive our newsletter
E-mail :
Stay in Touch
Join Us! !