Discontinuous splenogonadal fusion in a patient with left testicular mass.

Sushentsev N., Calleja R., Warren A., Livni N., Barrett T.

Purpose. Splenogonadal fusion (SGF) is a benign congenital anomaly that occurs predominantly in males and presents clinically as a testicular lump which is comprised of normal splenic tissue. There are two types of SGF: continuous and discontinuous. In continuous SGF, a fibrous band of splenic tissue is found between the spleen and testis and can be easily recognized on imaging studies. Conversely, diagnosis of discontinuous SGF is far from straightforward: if misdiagnosed, it leads to unnecessary orchiectomy in about a third of reported cases. We report a case of discontinuous SGF which was diagnosed postoperatively in a pa-tient with left testicular mass. We also provide a comprehensive review of imaging features and differential diagnosis of discontinuous SGF.
1 - I.M. Sechenov First Moscow State Medical University (Sechenov University). Moscow, Russia. 2 - The Queen Elizabeth Hospital. King's Lynn, UK. 3 - Addenbrooke’s Hospital. Cambridge, UK. 4 - Addenbrooke’s Hospital. Cambridge, UK. 5 - Addenbrooke’s Hospital and University of Cambridge. Cambridge, UK.


 

 

 

 

 

 

Keywords: splenogonadal fusion, testicular mass, spleen, testis, CT, US

 

Corresponding author:Sushentsev N., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Sushentsev N., Calleja R., Warren A., Livni N., Barrett T. Discontinuous splenogonadal fusion in a patient with left testicular mass. REJR 2017; 7 (4):156-160. DOI:10.21569/2222-7415-2017-7-4-156-160.

Received: 15.11.2017 Accepted: 29.11.2017