Splenogonadal fusion in a boy: case report and review of literature

We report an unusual case of splenogonadal fusion in a four-year-old boy with history of bilateral undescended testes. He had presented to us when he was one month old with an empty scrotum. On clinical examination he had bilateral undescended testes. The right testis was palpable in the inguinal region and the left was not palpable. No other anomaly was detected on clinical examination. Right orchidopexy was done at three years of age. Left impalpable testis was subsequently managed by left groin exploration which revealed no testis. Hence exploratory laparotomy was done. An intrabdominal left testis was found which had two abnormal-looking fleshy masses on its superior pole. Excision biopsy of these nodules was done and first stage orchidopexy was performed as it was difficult to mobilize the testis up to the left scrotum. Biopsy of the nodules revealed Splenogonadal fusion; hence we were justified in saving the testis. Second-stage orchidopexy was done after three months to fix the testis in the left scrotum

Mixed anaerobic and aerobic testicular abscess in a neonate.

A premature baby developed a testicular abscess on day 28 of life. The pus aspirated from the abscess grew a mixture of beta hemolytic Streptococcus and a Bacteroides species. The source of this infection could not be identified. The baby improved on antibiotic therapy. This is the first reported case of a polymicrobial testicular infection involving an anaerobe in a neonate. The relevant literature is reviewed.

Síndrome de Young: infecções respiratórias de repetição e azoospermia / Young's syndrome: repeated respiratory tract infections and azoospermia

INTRODUÇÃO: A síndrome de Young é uma variante da discinesia ciliar primária, caracterizada pela ocorrência de infecções respiratórias de repetição e obstrução congênita do epidídimo. APRESENTAÇÃO DO CASO: Os autores apresentam um caso de rinossinusite e pneumonias de repetição em um paciente de 28 anos do sexo masculino. Dosagem de sódio e cloro no suor e pesquisa de imunodeficiências celulares e humorais resultaram negativas. O espermograma revelou azoospermia, embora a espermatogênese estivesse mantida, conforme achado na biópsia de testículo. DISCUSSÃO: O diagnóstico foi de síndrome de Young, sendo este o primeiro caso relatado no Brasil. CONCLUSÃO: Os autores alertam para a importância desse diagnóstico, dadas suas implicações para aconselhamento genético, além do diagnóstico diferencial a ser feito com a fibrose cística.