Splenogonadal fusion associated with delayed skeletal maturation: A case report and review of the literature

In this report of a 13-year old boy, we describe the first case of splenogonadal fusion (SGF) associated with growth hormone deficiency, delayed skeletal maturation and stunting, and provide a review of the literature on SGF based on a search in major medical indexes using the descriptors “splenogon...

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Veröffentlicht in:Pediatric Urology Case Reports 2017-01, Vol.4 (1), p.262-262
Hauptverfasser: Hirth, Carlos Gustavo, Dornelas, Conceição Aparecida, Cerqueira, João Batista Gadelha de, Fujiike, Dennis Tomio, Sousa, Emília Tomé de, Neto, José Urbano de Medeiros
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container_end_page 262
container_issue 1
container_start_page 262
container_title Pediatric Urology Case Reports
container_volume 4
creator Hirth, Carlos Gustavo
Dornelas, Conceição Aparecida
Cerqueira, João Batista Gadelha de
Fujiike, Dennis Tomio
Sousa, Emília Tomé de
Neto, José Urbano de Medeiros
description In this report of a 13-year old boy, we describe the first case of splenogonadal fusion (SGF) associated with growth hormone deficiency, delayed skeletal maturation and stunting, and provide a review of the literature on SGF based on a search in major medical indexes using the descriptors “splenogonadal”, “splenogonadal fusion” and “congenital anomalies of the spleen”. Predominant in males (15:1), SGF is a rare congenital anomaly with only around 200 cases described involving the presence of splenic tissue in the gonads and, in some cases, a fibrous cord connecting the two structures. SGF may be associated with severe limb anomalies, micrognathism and testicle cancer. Despite frequently increased testicle volume, the condition is usually asymptomatic. Knowledge of SGF is important in the differential diagnosis of malignancies, avoiding unnecessary orchiectomy. Nevertheless, SGF has been observed in association with malignant tumors, especially in patients with cryptorchidism.
doi_str_mv 10.14534/PUCR.2017124189
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subjects Care and treatment
Case studies
Diagnosis
Gonadal disorders
Spleen
Tıp
title Splenogonadal fusion associated with delayed skeletal maturation: A case report and review of the literature
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