上海交通大学学报(医学版) ›› 2020, Vol. 40 ›› Issue (07): 1001-1004.doi: 10.3969/j.issn.1674-8115.2020.07.023

• 病例报告 • 上一篇    

连续型脾性腺融合1例报道及文献复习

李晓溪1,谢 华1,黄轶晨1,吕逸清1,梁 龑1,陈 方1, 2, 3   

  1. 1. 上海市儿童医院/上海交通大学附属儿童医院泌尿外科,上海200062;2. 上海交通大学附属第六人民医院泌尿外科,上海 200233;3. 上海市东方泌尿修复重建研究所,上海200233
  • 出版日期:2020-07-28 发布日期:2020-09-23
  • 通讯作者: 谢 华,电子信箱:drxiehua@163.com。
  • 作者简介:李晓溪(1967—),女,副主任医师,学士;电子信箱:584772360@qq.com。
  • 基金资助:
    上海市市级医院新兴前沿技术联合攻关项目(SHDC12010108)。

Continuous splenogonadal fusion: a case report and review of literature

LI Xiao-xi1, XIE Hua1, HUANG Yi-chen1, LÜ Yi-qing1, LIANG Yan1, CHEN Fang1, 2, 3   

  1. 1. Department of Urology, Children's Hospital of Shanghai, Children's Hospital of Shanghai Jiao Tong University, Shanghai 200062, China; 2. Department of Urology, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China; 3 Shanghai Eastern Urological Reconstruction and Repair Institute, Shanghai 200233, China
  • Online:2020-07-28 Published:2020-09-23
  • Supported by:
    Shanghai Municipal Hospital Joint Research Project of Shanghai Municipal Hospital on Emerging Frontier Technologies (SHDC12010108).

摘要: 患儿,男,4岁,因左侧阴囊出现无痛性团块3年收治入院。查体左侧腹股沟至阴囊依次可及3个类似睾丸样团块,上方及中部质地稍硬,下方质地稍软。入院后腹腔镜探查发现左侧有脾性腺融合(splenogonadal fusion,SGF),行保留左侧睾丸副脾切除术。术后随访18个月,睾丸发育良好、无萎缩,腹部B超提示肝、胆、脾未见异常。SGF是少见的先天异常,术前诊断困难,术中发现SGF应采取保留睾丸副脾切除术。腹腔镜技术可作为一个有效的诊治方法,其可提高对SGF的认识,避免不必要的睾丸切除术。

关键词: 脾性腺融合, 儿童, 腹腔镜, 保留睾丸副脾切除术

Abstract:

A 4-year-old boy with a painless mass for 3 years in the left scrotum was admitted to the hospital. Three testicle-like substances could be palpable one by one from groin to scrotum on the left side during physical examination. The upper and middle parts were slightly hard, while the lower part was slightly soft. The splenogonadal fusion (SGF) in the left side was found by laparoscopy after admission. Accessory splenectomy was performed with preservation of the left testicle. Postoperative follow-up was 18 months. The testicles were well developed without atrophy, and abdominal B-ultrasound showed no abnormality in liver, gallbladder and spleen. SGF was a rare congenital abnormality, which was difficult to diagnose preoperatively. During the operation, if the SGF was found, accessory splenectomy with testicle-sparing should be performed. Laparoscope can be used as an effective diagnosis and treatment method to improve the understanding of SGF, and avoid unnecessary orchiectomy.

Key words: splenogonadal fusion (SGF), children, laparoscopy, accessory splenectomy with testicle-sparing

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