Archivos espanoles de urologia · 2008
[Splenogonadal fusion].
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Llarena Ibarguren Roberto, Añibarro Laca Enrique, Pérez-Irezabal Pindado Juan Carlos, Ibáñez Calle María Teresa
Аннотация
OBJECTIVE: To report one case of discontinuous splenogonadal fusion, an rarely referred entity, with clinical interest, without important repercussions in most cases.
METHODS: 23-year-old male with the diagnosis of right paratesticular mass, with negative markers for germ cell tumors. On ultrasound the mass was homogeneous and isoechoic in comparison with the adjacent testicular parenchyma. On surgical exploration, the mass was excised, with the pathologic result of splenogonadal fusion, with normal splenic tissue.
RESULTS: Being maybe more frequent in pediatric surgery and urology practices, splenogonadal fusion presents two differentiated forms: continuous with a fibrous or nodular cord from the spleen to the gonad, retroperitoneal or intraperitoneal; and discontinuous in which there is no topographic communication between spleen and ectopic splenic tissue adjacent to the testicle.
CONCLUSIONS: Although they are exceptional, splenic remainders fused to the testicle, epididymis or vas deferens may present the differential diagnosis with testicular and paratesticular masses.
METHODS: 23-year-old male with the diagnosis of right paratesticular mass, with negative markers for germ cell tumors. On ultrasound the mass was homogeneous and isoechoic in comparison with the adjacent testicular parenchyma. On surgical exploration, the mass was excised, with the pathologic result of splenogonadal fusion, with normal splenic tissue.
RESULTS: Being maybe more frequent in pediatric surgery and urology practices, splenogonadal fusion presents two differentiated forms: continuous with a fibrous or nodular cord from the spleen to the gonad, retroperitoneal or intraperitoneal; and discontinuous in which there is no topographic communication between spleen and ectopic splenic tissue adjacent to the testicle.
CONCLUSIONS: Although they are exceptional, splenic remainders fused to the testicle, epididymis or vas deferens may present the differential diagnosis with testicular and paratesticular masses.