Splenogonadal fusion (SGF) is a rare congenital anomaly noticed mainly in boys. The usual presentation is of testicular swelling and is managed most of the time with avoidable orchidectomy. Here we report a case of SGF in a one year old boy presenting with tender swelling on the left inguinal region and empty left scrotum. With the suspicion of torsion left inguinal testis, left inguinal exploration with laparoscopy was done as emergency procedure. It revealed left inguinal testis adherent to a torted segment of continuous type of spleenunculi which extended up to the spleen intra abdominally. Child underwent excision of this splenunculi with left orchidopexy. Pathology of the specimen was reported as torsion of splenunculi. Most of the SGF are incidental finding that are noticed during elective herniotomy or orchidopexy. But there are few cases reported in literature where SGF can present as an acute condition mimicking torsion of testis. A testis preserving excision of splenunculi should be done in these patients as there is usually a clear demarcating plane between them.
| Published in | American Journal of Pediatrics (Volume 3, Issue 5) |
| DOI | 10.11648/j.ajp.20170305.11 |
| Page(s) | 28-31 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Splenunculi, Torsion, Orchidectomy, Intra Abdominal
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| [11] | “Rosary of Testes”: Splenogonadal Fusion in Association with Bilateral Abdominal Testes Presenting as Polyorchidism. Pejman Shadpour et al. Case Reports in Urology Volume 2015 (2015), Article ID 317189, 3 pages, http://dx.doi.org/10.1155/2015/317189 |
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APA Style
Sam Aruputha John, Ahamed Faiz Ali, Sunil Kumar, Rasha Kassem, Ali Hussain Ashkanani, et al. (2017). Splenogonadal Fusion Presenting as Acute Torsion of Testis. American Journal of Pediatrics, 3(5), 28-31. https://doi.org/10.11648/j.ajp.20170305.11
ACS Style
Sam Aruputha John; Ahamed Faiz Ali; Sunil Kumar; Rasha Kassem; Ali Hussain Ashkanani, et al. Splenogonadal Fusion Presenting as Acute Torsion of Testis. Am. J. Pediatr. 2017, 3(5), 28-31. doi: 10.11648/j.ajp.20170305.11
AMA Style
Sam Aruputha John, Ahamed Faiz Ali, Sunil Kumar, Rasha Kassem, Ali Hussain Ashkanani, et al. Splenogonadal Fusion Presenting as Acute Torsion of Testis. Am J Pediatr. 2017;3(5):28-31. doi: 10.11648/j.ajp.20170305.11
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Download@article{10.11648/j.ajp.20170305.11,
author = {Sam Aruputha John and Ahamed Faiz Ali and Sunil Kumar and Rasha Kassem and Ali Hussain Ashkanani and Nawal Yakoub Akbar},
title = {Splenogonadal Fusion Presenting as Acute Torsion of Testis},
journal = {American Journal of Pediatrics},
volume = {3},
number = {5},
pages = {28-31},
doi = {10.11648/j.ajp.20170305.11},
url = {https://doi.org/10.11648/j.ajp.20170305.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20170305.11},
abstract = {Splenogonadal fusion (SGF) is a rare congenital anomaly noticed mainly in boys. The usual presentation is of testicular swelling and is managed most of the time with avoidable orchidectomy. Here we report a case of SGF in a one year old boy presenting with tender swelling on the left inguinal region and empty left scrotum. With the suspicion of torsion left inguinal testis, left inguinal exploration with laparoscopy was done as emergency procedure. It revealed left inguinal testis adherent to a torted segment of continuous type of spleenunculi which extended up to the spleen intra abdominally. Child underwent excision of this splenunculi with left orchidopexy. Pathology of the specimen was reported as torsion of splenunculi. Most of the SGF are incidental finding that are noticed during elective herniotomy or orchidopexy. But there are few cases reported in literature where SGF can present as an acute condition mimicking torsion of testis. A testis preserving excision of splenunculi should be done in these patients as there is usually a clear demarcating plane between them.},
year = {2017}
}
TY - JOUR T1 - Splenogonadal Fusion Presenting as Acute Torsion of Testis AU - Sam Aruputha John AU - Ahamed Faiz Ali AU - Sunil Kumar AU - Rasha Kassem AU - Ali Hussain Ashkanani AU - Nawal Yakoub Akbar Y1 - 2017/10/10 PY - 2017 N1 - https://doi.org/10.11648/j.ajp.20170305.11 DO - 10.11648/j.ajp.20170305.11 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 28 EP - 31 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20170305.11 AB - Splenogonadal fusion (SGF) is a rare congenital anomaly noticed mainly in boys. The usual presentation is of testicular swelling and is managed most of the time with avoidable orchidectomy. Here we report a case of SGF in a one year old boy presenting with tender swelling on the left inguinal region and empty left scrotum. With the suspicion of torsion left inguinal testis, left inguinal exploration with laparoscopy was done as emergency procedure. It revealed left inguinal testis adherent to a torted segment of continuous type of spleenunculi which extended up to the spleen intra abdominally. Child underwent excision of this splenunculi with left orchidopexy. Pathology of the specimen was reported as torsion of splenunculi. Most of the SGF are incidental finding that are noticed during elective herniotomy or orchidopexy. But there are few cases reported in literature where SGF can present as an acute condition mimicking torsion of testis. A testis preserving excision of splenunculi should be done in these patients as there is usually a clear demarcating plane between them. VL - 3 IS - 5 ER -
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