Huang Guizhen, Huang Yidong, Zeng Li, Yuan Miao, Wu Yang, Huang Lugang
Department of Pediatric Surgery, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian 361000, P.R. China.
Department of Pediatric Surgery, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, P.R. China.
Exp Ther Med. 2017 May;13(5):2019-2021. doi: 10.3892/etm.2017.4198. Epub 2017 Mar 8.
Splenogonadal fusion (SGF) is a rare congenital malformation. Since it lacks characteristic features, very few cases of SGF have been diagnosed preoperatively. Laparoscopy was effective in both diagnosing and surgically treating this condition. Herein, we reported left side SGF in a male patient who was diagnosed during laparoscopic exploration, and Fowler-Stephens orchidopexy was implemented at the same time. The patient was followed up for one year. At a 6-month follow-up, the left scrotum demonstrated swelling and the internal contents were hard. An ultrasound of this testicle indicated non-uniform, splenic-like organization. However, at the one-year follow-up, the volume of splenic-like organization was reduced but the testicular size did not exhibit further atrophy.
脾性腺融合（SGF）是一种罕见的先天性畸形。由于其缺乏特征性表现，术前很少有SGF病例得到诊断。腹腔镜检查在诊断和手术治疗这种疾病方面均有效。在此，我们报告了一名男性患者的左侧SGF，该患者在腹腔镜探查时被诊断出来，同时实施了福勒-斯蒂芬斯睾丸固定术。对该患者进行了一年的随访。在6个月的随访中，左侧阴囊出现肿胀，内部内容物坚硬。对该睾丸进行超声检查显示为不均匀的、类似脾脏的组织。然而，在1年的随访中，类似脾脏组织的体积减小，但睾丸大小未进一步萎缩。
