McLean G K, Alavi A, Ziegler M M, Pollack H M, Duckett J W
J Pediatr Surg. 1981 Aug;16(4 Suppl 1):649-51. doi: 10.1016/0022-3468(81)90021-x.
Splenic-gonadal fusion is an unusual congenital anomaly resulting from the fusion of the splenic and gonadal anlagen at approximately the sixth week of gestation. A 14-mo-old male presenting with signs and symptoms of testicular torsion underwent scrotal exploration, and ectopic splenic tissue was found adjacent to the left testis. The operative diagnosis of splenic-gonadal fusion prompted abdominal scanning with 99mTc-sulfur colloid. The radionuclide image demonstrated an unusual pattern of activity that was consistent with surgical description of the intraabdominal appearance of this disorder. It is suggested that 99mTc-sulfur colloid scanning may prove to be a useful adjunct in the evaluation of patients with this anomaly.
脾-性腺融合是一种罕见的先天性异常,由妊娠约六周时脾和性腺原基融合所致。一名14个月大的男性因出现睾丸扭转的体征和症状接受了阴囊探查,结果在左侧睾丸附近发现了异位脾组织。脾-性腺融合的手术诊断促使使用99m锝-硫胶体进行腹部扫描。放射性核素图像显示出一种异常的活性模式,与该疾病腹腔内表现的手术描述一致。有人认为,99m锝-硫胶体扫描可能被证明是评估这种异常患者的一种有用辅助手段。