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Splenogonadal Fusion Presenting as Acute Torsion of Testis
American Journal of Pediatrics
Volume 3, Issue 5, September 2017, Pages: 28-31
Received: Jun. 1, 2017; Accepted: Aug. 17, 2017; Published: Oct. 10, 2017
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Authors
Sam Aruputha John, Department of Pediatric Surgery, Ibnsina Hospital, Ministry of Health, Kuwait City, Kuwait
Ahamed Faiz Ali, Department of Pediatric Surgery, Ibnsina Hospital, Ministry of Health, Kuwait City, Kuwait
Sunil Kumar, Department of Pediatric Surgery, Ibnsina Hospital, Ministry of Health, Kuwait City, Kuwait
Rasha Kassem, Department of Pediatric Surgery, Ibnsina Hospital, Ministry of Health, Kuwait City, Kuwait
Ali Hussain Ashkanani, Department of Pediatric Surgery, Ibnsina Hospital, Ministry of Health, Kuwait City, Kuwait
Nawal Yakoub Akbar, Department of Radiology, Ibnsina Hospital, Ministry of Health, Kuwait City, Kuwait
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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.
Keywords
Splenunculi, Torsion, Orchidectomy, Intra Abdominal
To cite this article
Sam Aruputha John, Ahamed Faiz Ali, Sunil Kumar, Rasha Kassem, Ali Hussain Ashkanani, Nawal Yakoub Akbar, Splenogonadal Fusion Presenting as Acute Torsion of Testis, American Journal of Pediatrics. Vol. 3, No. 5, 2017, pp. 28-31. doi: 10.11648/j.ajp.20170305.11
Copyright
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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