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Splenogonadal fusion – rarity for pathologist and urologist


Authors: Eliška Tvrdíková 1;  Jan Mazanec 1;  Mariana Plevová 2;  Aleš Čermák 2;  Jaroslav Sedmík 3
Authors place of work: Ústav patologie, FN Brno, LF MU, Brno 1;  Urologická klinika, FN Brno, LF MU, Brno 2;  Klinika radiologie a nukleární medicíny, FN Brno, LF MU, Brno 3
Published in the journal: Ces Urol 2018; 22(3): 203-208
Category: Case report

Summary

Splenogonadal fusion (SGF) is a unique developmental malformation that results in the ectopic occurrence of spleen tissue in the gonad. 135 years have passed since its first mention, nonetheless the etiology remains unclear. By maintaining communication with the spleen via a ligament, we can differentiate between two types of SGF (continuous and discontinuous). Some of the cases are associated with the occurrence of cryptorchism. There is no typical clinical picture of this lesion and it can mimic a tumor of the testicle. Preoperative identification of SGF is difficult and does not occur until a histopathological examination. The following is a case of splenogonadal fusion in a 25-year‑old man who was urologically examined and treated for a suspected tumor of the testis.

KEY WORDS

Cryptorchism, malformation, spina bifida, splenogonadal fusion.


Zdroje

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Štítky
Paediatric urologist Nephrology Urology
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