Key result
In a retrospective review of 7 patients with splenogonadal fusion, all were properly diagnosed at surgery and the testes were salvaged in 5 patients.
Case Report (n=7)
Yes
Familiarity with splenogonadal fusion allows for intraoperative diagnosis and testicular salvage.
May aid intraoperative recognition for salvage in rare cases; leaves open need for larger prospective data.
No AccessJournal of UrologyPotpourri1 Aug 1996Splenogonadal Fusion K.C. Balaji, Anthony A. Caldamone, Ronald Rabinowitz, Joseph Ortenberg, and David A. Diamond K.C. BalajiK.C. Balaji More articles by this author , Anthony A. CaldamoneAnthony A. Caldamone More articles by this author , Ronald RabinowitzRonald Rabinowitz More articles by this author , Joseph OrtenbergJoseph Ortenberg More articles by this author , and David A. DiamondDavid A. Diamond More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65839-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We report on 7 patients with splenogonadal fusion and review the literature on this unusual condition. Materials and Methods: The medical records of patients diagnosed with splenogonadal fusion between 1989 and 1994 at 4 institutions were retrospectively reviewed. Results: All 7 patients were properly diagnosed at surgery and the testes were salvaged in 5. In 1 intersex patient gonadectomy was appropriate. Conclusions: Splenogonadal fusion is a rare condition. Familiarity with this lesion allows for intraoperative diagnosis and testicular salvage. References 1 : Splenogonadal fusion--a rare congenital anomaly demonstrated by sup 99 Tcsulphur colloid imaging: case report. J. Nucl. Med.1975; 16: 922. Google Scholar 2 Bostroem, E.: Demonstration eines Praparates von Verwachsung der Milz mit dem lenken Hoden. Gesellschaft Deutscher Naturforscher und Aerzte, Verhandlungen der 56 Versammlung, Freiburg, p. 149, 1883. Google Scholar 3 : Verwachsung des linden kryptorchischen Hodensund Nebenhodens mit der Milz in einer Missgeburt mit zahlreichen Bildungsdefecten. Ber. Nat. Med. Ver. Innsbruck1888-89; 144: 17. Google Scholar 4 : One hundred years of splenogonadal fusion. Urology1990; 35: 471. Google Scholar 5 : The spectrum of splenogonadal fusion. Case report and review of 84 reported cases. Eur. J. Ped.1985; 144: 316. Google Scholar 6 : Splenogonadal fusion. Surgery1968; 63: 853. Google Scholar 7 : Unusual cardiac malformation in splenogonadal fusion-peromelia syndrome: relationship to normal development. Teratology1982; 25: 1. Google Scholar 8 : Splenic-gonadal fusion. Amer. J. Path.1956; 32: 15. Google Scholar 9 Embriology: development of individual systems. In: Gray's Anatomy. Edited by . New York: Churchill Livingstone1989: 238. and 255. Google Scholar 10 : Apparent third testicle consisting of a scrotal spleen. J. Anat. Physiol.1913; 47: 340. Google Scholar 11 : Rate surnumeraire a localisation scrotale. Maroc. Med.1951; 30: 744. Google Scholar 12 : Milzgewebe im linken Ovarium des linken Individualteiles eines menschlichen Thorcopagus. Virchows Arch.1953; 324: 36. Google Scholar 13 : Splenogonadal fusion: a rare cause of a scrotal mass. Brit. J. Urol.1994; 74: 250. Google Scholar 14 : Splenogonadal fusion. Brit. J. Surg.1982; 69: 348. Google Scholar 15 : Splenogonadal fusion. J. Urol.1985; 133: 1052. Link, Google Scholar 16 : Accessory spleen in the scrotum; review of the literature on ectopic spleens and their associated surgical significance. Ann. Surg.1943; 117: 754. Google Scholar 17 : Splenogonadal fusion. Acta Ped. Scand.1978; 67: 379. Google Scholar 18 : Splenic-gonadal fusion causing bowel obstruction. Arch. Surg.1961; 83: 887. Google Scholar 19 : The results of surgical therapy for cryptorchidism: a literature review and analysis. J. Urol.1995; 154: 1148. Link, Google Scholar 20 : Splenogonadal fusion: report of 2 cases and review of the literature. J. Urol.1996; 155: 309. Google Scholar From the University of Massachusetts Medical Center, Worcester, Massachusetts, University of Rochester School of Medicine and Dentistry, Rochester, New York, Brown University School of Medicine, Providence, Rhode Island, and Louisiana State University Medical Center, Shreveport, Louisiana.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 156Issue 2SAugust 1996Page: 854-856 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information K.C. Balaji More articles by this author Anthony A. Caldamone More articles by this author Ronald Rabinowitz More articles by this author Joseph Ortenberg More articles by this author David A. Diamond More articles by this author Expand All Advertisement PDF downloadLoading ...
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Balaji et al. (1996) conducted a case report in Splenogonadal fusion (n=7). Surgical exploration was evaluated on Proper intraoperative diagnosis and testicular salvage. In a retrospective review of 7 patients with splenogonadal fusion, all were properly diagnosed at surgery and the testes were salvaged in 5 patients.
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