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Splenogonadal fusion: a case report.
Oshiba, Ahmed; Abdallah, Dina; Abdelaziz, Marwa; Ibrahim, Amir; Kotb, Mostafa; Eshiba, Samar; Rizvi, Maryam.
Afiliación
  • Oshiba A; Faculty of Medicine, University of Alexandria, Alexandria, 21311, Egypt.
  • Abdallah D; Faculty of Medicine, University of Alexandria, Alexandria, 21311, Egypt.
  • Abdelaziz M; Faculty of Medicine, University of Alexandria, Alexandria, 21311, Egypt.
  • Ibrahim A; Faculty of Medicine, University of Alexandria, Alexandria, 21311, Egypt.
  • Kotb M; Faculty of Medicine, University of Alexandria, Alexandria, 21311, Egypt. mostafa.rashad@alexmed.edu.eg.
  • Eshiba S; Faculty of Medicine, University of Alexandria, Alexandria, 21311, Egypt.
  • Rizvi M; Faculty of Life Sciences and Medicine, Guy's, King's and St Thomas' (GKT) School of Medical Education, King's College London, London, UK.
J Med Case Rep ; 17(1): 515, 2023 Dec 15.
Article en En | MEDLINE | ID: mdl-38098099
ABSTRACT

BACKGROUND:

Accessory splenic tissue is a commonly encountered phenomenon in medical literature. Typically, these accessory spleens are found in close proximity to the main spleen, either in the hilum or within the surrounding ligaments. Nevertheless, it is noteworthy that they can also be located in unusual sites such as the jejunum wall, mesentery, pelvis, and, exceptionally rarely, the scrotum. The first documented case of accessory splenic tissue in the scrotum was reported by Sneath in 1913 and is associated with a rare congenital anomaly called splenogonadal fusion. This report describes an infant who presented with a scrotal mass noted by his mother and after examination, investigations, and surgical exploration, it was revealed to be splenogonadal fusion. CASE DESCRIPTION An 8-month-old Caucasian male patient presented with a mass in the left testicle and bluish discoloration of the scrotum, which had been incidentally noticed in the previous 2 months. The general physical examination was unremarkable. Other than a palpable scrotal mass that was related to the upper pole of the testis, the rest of examination was unremarkable. Imaging revealed that this mass originated from the tail of the epididymis without infiltrating the testis and tumor markers were normal. On inguinal exploration, a reddish brown 2 × 2 cm mass was found attached to the upper pole and was completely excised without causing any harm to the testis, vessels, or epididymis. Histopathological evaluation confirmed the presence of intratesticular ectopic splenic tissue.

CONCLUSION:

Although uncommon, splenogonadal fusion can be included in the differential diagnosis of a testicular swelling. Accurate diagnosis allows for appropriate treatment planning which helps to avoid unnecessary radical orchiectomy, which can have a significant impact on the patient's reproductive and psychological wellbeing.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades del Bazo / Anomalías del Sistema Digestivo Límite: Humans / Infant / Male Idioma: En Revista: J Med Case Rep Año: 2023 Tipo del documento: Article País de afiliación: Egipto Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades del Bazo / Anomalías del Sistema Digestivo Límite: Humans / Infant / Male Idioma: En Revista: J Med Case Rep Año: 2023 Tipo del documento: Article País de afiliación: Egipto Pais de publicación: Reino Unido