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RESEARCH PRODUCT

Splenogonadal Fusion: A Genetic Disorder?—Report of a Case and Review of the Literature

Cinzia ChiaramonteFortunato SiracusaGiuseppe Li Voti

subject

General Urologyendocrine systemPathologymedicine.medical_specialtyFrozen section procedureGonadurogenital systembusiness.industryUrologySpleenSplenogonadal fusionAccessory spleenlcsh:Diseases of the genitourinary system. Urologylcsh:RC870-923medicine.diseaseEpididymisAccessory spleenSplenogonadal fusionmedicine.anatomical_structureTestismedicineOrchiectomyDifferential diagnosisbusiness

description

Splenogonadal fusion is a rare congenital anomaly in which there is fusion between the spleen and gonad, epididymis or vas. We treated a patient with scrotal mass. A discontinuous fusion between the spleen and epididymis was found: after frozen section mass was excised sparing testis. Although rare, the splenogonadal fusion should be considered in the differential diagnosis of scrotal masses in children, and orchiectomy should be avoided. Moreover, examination of siblings showed a brother affected from accessory spleen. This finding, not reported previously to our knowledge, suggests a possible familiarity of this disorder. Keywords: Splenogonadal fusion, Testis, Accessory spleen

https://doi.org/10.1016/j.eucr.2014.01.003