Ces Urol 2018, 22(3):203-208 | DOI: 10.48095/cccu2018028

Splenogonadal fusion - rarity for pathologist and urologist

Eliška Tvrdíková¹, Jan Mazanec¹, Mariana Plevová², Aleš Čermák², Jaroslav Sedmík³

¹ Ústav patologie, FN Brno, LF MU, Brno

² Urologická klinika, FN Brno, LF MU, Brno

³ Klinika radiologie a nukleární medicíny, FN Brno, LF MU, Brno

Tvrdíková E, Mazanec J, Plevová M, Čermák A, Sedmík J. Splenogonadal fusion - rarity for pathologist and urologist. Splenogonadal fusion (SGF) is a unique developmental malformation that results in the ectopic occurrence of spleen tissue in the gonad. 135 years have passed since its first mention, nonetheless the etiology remains unclear. By maintaining communication with the spleen via a ligament, we can differentiate between two types of SGF (continuous and discontinuous). Some of the cases are associated with the occurrence of cryptorchism. There is no typical clinical picture of this lesion and it can mimic a tumor of the testicle. Preoperative identification of SGF is difficult and does not occur until a histopathological examination. The following is a case of splenogonadal fusion in a 25-year‑old man who was urologically examined and treated for a suspected tumor of the testis.

Keywords: Cryptorchism, malformation, spina bifida, splenogonadal fusion.

Received: May 24, 2018; Accepted: August 20, 2018; Prepublished online: August 20, 2018; Published: September 30, 2018