Özden TOLUNAY, Kadir TÜRKÖLMEZ, Özcan KILIÇ, C. Orhun ECEMİŞ, Berkan REŞORLU, A. Hakan HALİLOĞLU

Splenogonadal füzyon

Splenogonadal füzyon, splenik ve gonadal yapıların intrauterin dönemde birleşmesi ile karakterize nadir görülen konjenital bir anomalidir. Bu anomali genellikle erkeklerde ve hemen hemen daima sol taraftadır. Splenogonadal füzyon özellikle sol tarafa lokalize intraskrotal ekstratestiküler kitlelerin ayırıcı tanısında göz önünde bulundurulmalıdır. Bu yazıda, sol skrotal kitle ile başvuran ve cerrahi eksplorasyon sonrası splenogonadal füzyon tanısı konan 25 yaşında bir erkek hasta olgusu sunulmuştur.

Splenogonadal fusion

Splenogonadal fusion is a rare congenital malformation characterized by intrauterin fusion of the spleen and gonad. This entity has a male predominance and it is almost on the left side. Splenogonadal fusion should be considered in the differantial diagnosis of intrascrotal, extratesticular masses especially localized at the left side. In this paper, we report a case of a 25 year old man who presented with left scrotal mass and after surgical exploration diagnosed as splenogonadal fusion.

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1- Karaman MI, Gonzales ET. Splenogonadal fusion: report of 2 cases and review of the literature. J Urol 1996; 155: 309-11.
2- Burnand KG,Young AE. The New Aird’s Companion in Surgical Studies, 3rd ed, Chapt 43. Edinburgh: Churchill Livingstone, 1992: 1186.
3- Finkbeiner AE, DeRidder PA, Ryden SE. Splenic-gonadal fusion and adrenal cortical rest associated with bilateral cryptorchidism. Urology 1997; 10: 337-40.
4- Pommer G. Verwachsung des linken kryptorchischen Hodens und Nebenhodens mit der Milz in einer Missgeburt mit zahlreichen Bildungsdefecten. Ber Naturw Med Ver Innsbruck 1889; 17- 19: 144-8.
5- Nimkin K, Kleinman PK, Chappell JS. Abdominal ultrasonography of splenogonadal fusion. J Ultrasound Med 2000; 19: 345-7.
6- Carragher AM. One hundred years of splenogonadal fusion. Urology 1990; 35: 471-5.
7- Steinmetz AP, Rappaport A, Nikolov G, et al. Splenogonadal fusion diagnosed by spleen scintigraphy. J Nucl Med 1997; 38: 1153-5.