Margi M, Boumart K, Nkhili H, Oulahyane R, Cherkaoui A, Abdelhak M, Benhmamouch M N
Service de chirurgie viscérale pédiatrique << A >>, hôpital d'enfants, Rabat, Maroc.
Arch Pediatr. 2010 Jan;17(1):42-4. doi: 10.1016/j.arcped.2009.10.001. Epub 2009 Nov 13.
Splenogonadal fusion is a rare congenital abnormality. Preoperative diagnosis is difficult but can be based on scintigraphy using technetium 99m. In most cases, the splenic tissue can be dissected off the gonadal structures easily, and if there are any doubts concerning the nature of the swelling, an intraoperative frozen section can be performed to avoid an unnecessary orchidectomy. We report the case of a 4-year-old child in whom an inguinal mass indicated surgical exploration, which documented the histological diagnosis of splenogonadal fusion.
脾性腺融合是一种罕见的先天性异常。术前诊断困难，但可基于使用锝99m的闪烁扫描法进行。在大多数情况下，脾组织可轻松从性腺结构上分离下来，如果对肿胀的性质有任何疑问，可进行术中冰冻切片检查以避免不必要的睾丸切除术。我们报告一例4岁儿童病例，其腹股沟肿物提示需进行手术探查，术中病理诊断为脾性腺融合。
