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1.
Ann R Coll Surg Engl ; 104(2): 32-34, 2022 Feb.
Article in English | MEDLINE | ID: mdl-35100848

ABSTRACT

Splenogonadal fusion is a rare benign congenital anomaly in which there is an abnormal connection between the gonad and the spleen. It was first described over 100 years ago with limited reports in the literature since then. Its similarity in presentation to testicular neoplasia poses a significant challenge in diagnosis and management, often resulting in radical orchidectomy. We present the case of a 31-year-old man who presented with a rapidly growing left-sided testicular mass and suspicious ultrasound findings; histology from the subsequent radical inguinal orchidectomy showed findings consistent with splenogonadal fusion. We describe points for consideration in the clinical history, examination and imaging that could suggest splenogonadal fusion, including preoperative technetium-99m-sulfur colloid imaging and intraoperative frozen section evaluation, which may confirm the diagnosis and prevent unnecessary orchidectomy.


Subject(s)
Spleen/abnormalities , Testis/abnormalities , Adult , Humans , Male , Orchiectomy , Spleen/diagnostic imaging , Testis/diagnostic imaging , Testis/surgery , Tomography, X-Ray Computed , Ultrasonography , Unnecessary Procedures
2.
Ann R Coll Surg Engl ; 104(2): e32-e34, 2022 Feb.
Article in English | MEDLINE | ID: mdl-33739169

ABSTRACT

Splenogonadal fusion is a rare benign congenital anomaly in which there is an abnormal connection between the gonad and the spleen. It was first described over 100 years ago with limited reports in the literature since then. Its similarity in presentation to testicular neoplasia poses a significant challenge in diagnosis and management, often resulting in radical orchidectomy. We present the case of a 31-year-old man who presented with a rapidly growing left-sided testicular mass and suspicious ultrasound findings; histology from the subsequent radical inguinal orchidectomy showed findings consistent with splenogonadal fusion. We describe points for consideration in the clinical history, examination and imaging that could suggest splenogonadal fusion, including preoperative technetium-99m-sulfur colloid imaging and intraoperative frozen section evaluation, which may confirm the diagnosis and prevent unnecessary orchidectomy.


Subject(s)
Digestive System Abnormalities , Splenic Diseases , Testicular Neoplasms , Adult , Digestive System Abnormalities/surgery , Humans , Male , Orchiectomy , Splenic Diseases/surgery , Testicular Neoplasms/surgery , Testis/abnormalities , Testis/diagnostic imaging , Testis/surgery
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