Prada Arias M, Vázquez Castelo J L, Montero Sánchez M, Muguerza Vellibre R, Rodríguez Costa A
Servicio de Cirugía Pediátrica, Complejo Hospitalario Xeral-Cíes, Vigo, Pontevedra, Spain.
An Pediatr (Barc). 2006 Mar;64(3):277-9. doi: 10.1157/13085518.
Splenogonadal fusion is a rare congenital malformation that results from abnormal connection of splenic tissue with the gonad or the mesonephric structures during embryonic development. It is usually detected in males and is classified into two types, continuous and discontinuous. We present the case of a 3-year-old boy with an asymptomatic scrotal mass that was suspicious for discontinuous splenogonadal fusion on Doppler ultrasonography. The diagnosis was confirmed by surgical excision and histological analysis. Splenogonadal fusion is a benign anomaly that has sometimes led to unnecessary orchidectomy because of suspicion that the mass represented a malignant tumor. Consequently, it is essential to include this malformation in the differential diagnosis of scrotal masses in children.
脾性腺融合是一种罕见的先天性畸形,它是由于胚胎发育过程中脾组织与性腺或中肾结构异常连接所致。它通常在男性中被发现,分为连续型和间断型两种类型。我们报告一例3岁男孩,其阴囊内有无症状肿块,多普勒超声检查怀疑为间断性脾性腺融合。通过手术切除和组织学分析确诊。脾性腺融合是一种良性异常,有时因怀疑肿块为恶性肿瘤而导致不必要的睾丸切除术。因此,在儿童阴囊肿块的鉴别诊断中纳入这种畸形至关重要。