Case report: Splenic-gonadal fusion — The ultrasound appearances

Henderson, Ronald G.; Henderson, David C.; Reid, I N; Atkinson, P M

doi:10.1016/s0009-9260(05)80509-4

Cited by 15 publications

(5 citation statements)

References 5 publications

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“…10 The appearance of splenogonadal fusion on sonography has previously been described as resembling a mass within the scrotal sac of low reflectivity in comparison with the normal testicular parenchyma. 7,8,11 The mass may not be seen as separate from the testis and, as such, can be readily confused with a primary testicular tumor, 11 as occurred in our case. When detected both clinically and on sonography as separate from the testis, a primary testicular tumor is unlikely, and further investigation should be instituted.…”

Section: Discussionmentioning

confidence: 59%

Splenogonadal Fusion

Stewart

Sellars²,

Somers³

et al. 2004

J of Ultrasound Medicine

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Section: Discussionmentioning

confidence: 59%

Splenogonadal Fusion

Stewart

Sellars²,

Somers³

et al. 2004

J of Ultrasound Medicine

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“…To our knowledge, the ultrasound appearances in the two cases reported up to now [13,14] were not conclusive and the hypoechoic ectopic spleen resembled a testicular tumor. In such cases, if the diagnosis is suspected, a technetium sulfur colloid isotope scan can be used as an additional pre-operative diagnostic tool for visualization of the accessory splenic tissue and establishment of the diagnosis [15].…”

Section: Discussionmentioning

confidence: 77%

Male splenic-gonadal fusion of the continuous type: sonographic findings

et al. 2001

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A new case of splenic-gonadal fusion in an 8-year-old boy is reported in which the sonographic findings were highly suggestive to include the condition in the differential diagnosis. A separate mass with medium-level echoes and a homogeneous echo texture, surrounded by a clearly visible echogenic capsule, was found in contact with the lower pole of the left testis. The particular character of this congenital anomaly is emphasized and the pathogenesis, diagnosis, and treatment are discussed.

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“…US has an essential role in the diagnosis of scrotal masses as the first-line imaging modality in the diagnosis of testicular pathologies [9,10]. In B-mode splenogonadal fusion can be identified as a mass within the scrotal sac of low reflectivity, which may appear to be fused to the testis [11,12]. Colour-coded Doppler US shows a vascularisation pattern similar to that seen in the central aspect of the normal testis or in splenic tissue [13].…”

Section: Discussionmentioning

confidence: 99%

Splenogonadal fusion evaluation using Contrast Enhanced Ultrasound and Elastography. A case report.

Grosu¹,

Rübenthaler²,

Knösel

et al. 2019

Med Ultrason

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We present the case of splenogonadal fusion in a 53-year-old male patient assessed by ultrasound and MRI, confirmed by pathologic examination. In addition to B-mode and colour-coded Doppler ultrasound, shear wave elastography and CEUS were performed and are presented in detail. Splenogonadal fusion is a rare congenital anomaly presumably caused by an abnormal attachment of splenic tissue to the gonad during gestation. Diagnosis is challenging for clinicians and in unclear cases splenogonadal fusion might cause unnecessary orchiectomies with benign pathologic results. Ultrasound is the first-line imaging modality in the diagnosis of testicular pathologies. This case report summarizes all available modern ultrasound imagingtechnologies and highlights the possibilities for the diagnosis of splenogonadal fusion.

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Case report: Splenic-gonadal fusion — The ultrasound appearances

Cited by 15 publications

References 5 publications

Splenogonadal Fusion

Splenogonadal Fusion

Male splenic-gonadal fusion of the continuous type: sonographic findings

Splenogonadal fusion evaluation using Contrast Enhanced Ultrasound and Elastography. A case report.

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