Splenogonadal Fusion: A Rare Congenital Anomaly in Children

Osman Zeki Karakus, Mustafa Ozcetin, Fikret Erdemir
  • BJUI, February 2012, Wiley
  • DOI: 10.1002/bjuiw-2011-097-web

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.

Why is it important?

In summary, although extremely rare, splenogonadal fusion should be considered during the evaluation of an undescended testis.

Perspectives

Osman Zeki Karakuş
Dept. of Pediatric Surgery, Dokuz Eylül University, Medical School

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.

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http://dx.doi.org/10.1002/bjuiw-2011-097-web

The following have contributed to this page: Osman Zeki Karakuş