What is it about?
Splenogonadal fusion is a rare, benign, congenital anomaly characterized by fusion of the spleen and a gonad; it is frequently associated with other organ abnormalities. Approximately 175 cases of splenogonadal fusion have been reported.
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Why is it important?
In summary, although extremely rare, splenogonadal fusion should be considered during the evaluation of an undescended testis.
Perspectives
Since laparoscopy is helpful in diagnosing this rare condition, and for planned surgical treatment, as in our case, a few cases of splenogonadal fusion have been diagnosed and managed with laparoscopy. A laparoscopic approach prevents the loss of time due to secondary operations and frozen section examination or radiological imaging methods. Another problem with this anomaly is unnecessary orchiectomy. Indeed, patients can undergo an unnecessary orchiectomy because a primary testicular neoplasm is suspected.
Osman Zeki Karakuş
Dept. of Pediatric Surgery, Dokuz Eylül University, Medical School
Read the Original
This page is a summary of: Splenogonadal Fusion: A Rare Congenital Anomaly in Children, BJUI, February 2012, Wiley,
DOI: 10.1002/bjuiw-2011-097-web.
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