Splenogonadal fusion: A review of two cases

Sharan Birk, Great Ormond Street Hospital

Background

Splenogonadal fusion (SGF) is a rare presentation. It is a congenital abnormality where there is an abnormal fusion of the spleen and gonads during development [1]. The majority of cases are discovered during childhood, and because the presentation is most likely to be swelling and enlargement of the testicle, testicular cancer is often suspected as the cause. This may lead to emergency surgical intervention such as surgical exploration or orchidectomy. Early correct diagnosis of the ectopic splenic tissue could avoid further imaging or surgery [2].

Discussion

Using two case reviews, the presenting symptoms and ultrasound appearances will be discussed to demonstrate the usefulness and critical role of ultrasound and raise awareness of this rare condition.

References

1. Chen G., Wang X., Zhao Y. et al. Splenogonadal fusion: a case report and review of the literature. BMC Urology. 2021; 21 (16).

2. Qadeer A., Quincey C., Gill K. et al. Splenogonadal fusion: a radiological–pathological correlation and review of the literature. Radiology Case Reports. 2020; 15 (10): 1817–1822.

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