Laparoscopic diagnosis and treatment of splenogonadal fusion associated with intra-abdominal cryptorchidism

Splenogonadal füzyon dalak ile gonadın füzyone olduğu nadir görülen konjenital anomalilerden biridir. Literatüre göre bu olguların %37sine gereksiz orşiektomi yapılmaktadır. Burada inmemiş testisle birlikte splenogonadal füzyonu olan ve gereksiz orşiektomiden kaçınılan bir hasta sunulmaktadır.

İntraabdominal kriptorşidizmle bağlantılı splenogonadal füzyonun Laparoskopik tanı ve tedavisi

Splenogonadal fusion is a rare congenital anomaly in which there is a fusion between spleen and gonad. According to the literature, 37% of them had unnecessary orchiectomy. We present a patient with splenogonadal fusion in undescended testis, who was preserved from unnecessary orchiectomy.

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  • 1. Bostroem E. Demonstration eines Praparated von Verwachswung der Mils mit dem lenken Hoden. Gesell – schaft deutscher Naturforscher und Aerzte, Verhandlungen der 56 Versammlung, Freiburg. 1883; 149.
  • 2. Karaman MI, Gonzales ET JR. Splenogonadal fusion: report of 2 cases and review of the literature. J Urol. 1996; 155:309-11.
  • 3. Putschar WGJ, Manion WC. Splenic – gonadal fusion. Am J Pathol. 1956; 32:15.
  • 4. Ziylan O, Sanli O, Atar A, Tefik T., Karadeniz M., Ander H. Splenogonadal fusion: An unusual cause of an ascending testis and laparoscopic solution. J Endourol. 2009; 3(Suppl1): A351.
  • 5. Khairat AB, Ismail AM. Splenogonodal fusion: case presentation and literature review. J Pediatr Surg. 2005; 40:1357-60.
  • 6. Varma DR, Sirineni GR, Rao MV, Pottala KM, Mallipudi BVP. Sonographic and CT features of splenogonadal fusion. Pediatr Radiol. 2007; 37:916-9.
  • 7. Duncan WL Jr, Barraza MA. Splenogonadal fusion: a case report and review of literature. J Pediatr Surg. 2005; 40: 5-7.
  • 8. Irkilata HC, Aydur E, Yildirim I, Kibar Y, Dayanc M. Splenogonadal fusion in adults: presentation of three cases and review of the literature. Urol Int. 2008; 81:360-3.
  • 9. Balaji KC, Caldamone AA, Rabinowitz R, Ortenberg J, Diamond DA. Splenogonadal fusion. J Urol. 1996; 156:854-6.
  • 10. Alivizatos G, Skolarikos A, Sopilidis O, Ferakis N, Chorti M. Splenogonadal fusion: report of a case and review of literature. Int J Urol. 2005; 12:90–2.