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Mohamed SEM, Elawad MF, Mohamed MA, Hussain SA, Al-Rashid AA. Splenogonadal fusion in a female: A case report of a rare congenital anomaly. Radiol Case Rep 2024; 19:1409-1412. [PMID: 38292784 PMCID: PMC10827536 DOI: 10.1016/j.radcr.2023.12.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Revised: 12/26/2023] [Accepted: 12/27/2023] [Indexed: 02/01/2024] Open
Abstract
We present a case of an 18-year-old female referred for an MRI pelvis to evaluate suspected uterine anomaly by ultrasound. The MRI showed a complete septate uterus and in addition, an elongated tubular structure (isointense to the spleen) extending from the left ovary in the left retroperitoneal region/left paracolic gutter to the under-splenic surface. CT abdomen and pelvis revealed this to be a similarly enhancing structure as the spleen and appears as a tubular retroperitoneal structure connecting the left ovary to the spleen with associated vasculature joining the splenic vein cranially and the ovarian vessels caudally consistent with splenogonadal fusion.
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Affiliation(s)
| | | | - Maysa A. Mohamed
- Body Imaging Department, HGH, Hamad Medical Corporation, Doha, Qatar
| | | | - Amal A. Al-Rashid
- Department of Radiology-College of Medicine, Qatar University, Hamad Medical Corporation, Doha, Qatar
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Ceccanti S, Varrasso G, D'Avanzo M, Andreoli G, Masselli G, Tarani F, Cozzi DA. Female splenogonadal fusion: A PLEA for conservative management. Urol Case Rep 2023; 51:102620. [PMID: 38033426 PMCID: PMC10686837 DOI: 10.1016/j.eucr.2023.102620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Revised: 11/10/2023] [Accepted: 11/14/2023] [Indexed: 12/02/2023] Open
Abstract
Splenogonadal fusion in female patients is seldom reported. We describe a 6-month-old girl who represents the youngest living female with splenogonadal fusion reported to date. The lesion was diagnosed as an incidental finding during screening abdominal ultrasonography performed for a vulvar infantile hemangioma. A tail-like structure with splenic echotexture connecting a normally located spleen and the left ovary was detected and better characterized by MRI. We also reviewed the pertinent literature on managing this usually asymptomatic condition, especially in female patients. Greater professionals' awareness of this benign anomaly is paramount to avoid the unnecessary removal of an otherwise normal gonad.
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Affiliation(s)
- Silvia Ceccanti
- Pediatric Surgery Unit, Azienda Ospedaliero Universitaria Policlinico Umberto I, Department of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Viale Regina Elena 324, Rome, RM 00161, Italy
| | - Giulia Varrasso
- Pediatric Unit, Azienda Ospedaliero Universitaria Policlinico Umberto I, Department of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Viale Regina Elena 324, Rome, RM 00161, Italy
| | - Miriam D'Avanzo
- Department of Radiological, Oncological and Pathological Sciences, Azienda Ospedaliero Universitaria Policlinico Umberto I, Sapienza University of Rome, Viale Regina Elena 324, Rome, RM 00161, Italy
| | - Gianmarco Andreoli
- Department of Radiological, Oncological and Pathological Sciences, Azienda Ospedaliero Universitaria Policlinico Umberto I, Sapienza University of Rome, Viale Regina Elena 324, Rome, RM 00161, Italy
| | - Gabriele Masselli
- Department of Radiological, Oncological and Pathological Sciences, Azienda Ospedaliero Universitaria Policlinico Umberto I, Sapienza University of Rome, Viale Regina Elena 324, Rome, RM 00161, Italy
| | - Francesca Tarani
- Pediatric Unit, Azienda Ospedaliero Universitaria Policlinico Umberto I, Department of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Viale Regina Elena 324, Rome, RM 00161, Italy
| | - Denis A. Cozzi
- Pediatric Surgery Unit, Azienda Ospedaliero Universitaria Policlinico Umberto I, Department of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Viale Regina Elena 324, Rome, RM 00161, Italy
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Parfitt JR, Vallely J, Driman DK. Pathologic quiz case: a man with an asymptomatic left testicular mass. Arch Pathol Lab Med 2003; 127:e277-8. [PMID: 12741923 DOI: 10.5858/2003-127-e277-pqcamw] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Jeremy R Parfitt
- Department of Pathology, St Joseph's Hospital and the University of Western Ontario, London, Ontario, Canada
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