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Archives de pédiatrie
Volume 17, n° 1
pages 42-44 (janvier 2010)
Doi : 10.1016/j.arcped.2009.10.001
Received : 27 October 2008 ;  accepted : 7 October 2009
Fusion splénogonadique : à propos d’un cas
Splenogonadal fusion: A case report
 

M. Margi , K. Boumart, H. Nkhili, R. Oulahyane, A. Cherkaoui, M. Abdelhak, M.N. Benhmamouch
Service de chirurgie viscérale pédiatrique « A », hôpital d’enfants, Rabat, Maroc 

Auteur correspondant. Service de chirurgie pédiatrique, hôpital d’enfants, 29, rue Ankara, app. 21, ocean, Rabat 10000, Maroc.
Résumé

La fusion splénogonadique est une anomalie congénitale rare. Le diagnostic préopératoire est difficile et pourrait s’appuyer sur la scintigraphie au technétium 99m. Dans la plupart des cas, le nodule splénique peut être séparé facilement de la gonade ou des éléments du cordon spermatique. En cas de doute, un examen histologique extemporané peut être utile pour éviter une orchidectomie abusive. Nous rapportons l’observation d’un garçon de 4 ans, chez qui une masse inguinale gauche a conduit à une exploration chirurgicale et a permis de porter le diagnostic histologique de fusion splénogonadique.

The full text of this article is available in PDF format.
Summary

Splenogonadal fusion is a rare congenital abnormality. Preoperative diagnosis is difficult but can be based on scintigraphy using technetium 99m. In most cases, the splenic tissue can be dissected off the gonadal structures easily, and if there are any doubts concerning the nature of the swelling, an intraoperative frozen section can be performed to avoid an unnecessary orchidectomy. We report the case of a 4-year-old child in whom an inguinal mass indicated surgical exploration, which documented the histological diagnosis of splenogonadal fusion.

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Mots clés : Fusion splénogonadique, Cryptorchidie




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