scholarly journals Pathogenesis, Diagnosis, and Management of Splenogonadal Fusion: A Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Youssef Kadouri ◽  
Damien Carnicelli ◽  
Hachem El Sayegh ◽  
Lounis Benslimane ◽  
Yassine Nouini
Keyword(s):  
Splenic Tissue ◽  
Review Of The Literature ◽  
Splenogonadal Fusion ◽  
Spleen Tissue ◽  
Small Nodule ◽  
Normal Spleen ◽  
Scrotal Ultrasound ◽  
Pubmed Database ◽  
Care Guidelines ◽  
Palpable Tumor

Introduction. Splenogonadal fusion is a rare congenital anomaly, defined by the presence of ectopic splenic tissue caused by an abnormal connection between the spleen and the gonad or mesonephrotic derivatives during the embryonic period. Materials and Methods. By reporting an observational case and performing a review of the literature according to the CARE guidelines (using the PubMed database and guidelines from urology, general surgery, and pediatric learned societies), we present the embryological genesis of the splenogonadal fusion, the associated anatomical anomalies, and the diagnostic procedure. Observation. We report the case of a patient aged 45, with no notable history, reporting left testicular pain. A small nodule on the upper pole of the left testicular was clinically palpable. Tumor markers were normal, and scrotal ultrasound depicted a hypoechoic hypervascular nodule measuring 8∗6∗8 mm. After validation in a multidisciplinary oncology consultation meeting and opinion from a uro-andrologist expert, the patient underwent an inguinal lumpectomy with an extemporaneous examination which did not objectify any signs of malignancy. Ultimately, it is a normal spleen tissue in the testicular ectopic position. Discussion. Splenogonadal fusion corresponds to a rare congenital malformation; less than 200 cases have been published in the literature, most often affecting boys, with a sex ratio of 15/1. Two types are described, depending on the continuity of the link between the orthotopic spleen and the gonad: the continuous and discontinuous forms. In a third of the cases, there are associated congenital malformations and particularly in the continuous forms (44 to 50% of the cases): anomalies of the limbs, micrognathia, microgyria, and hepatic and digestive abnormalities. Cryptorchidism is associated with the continuous form in 31% of cases. The preoperative diagnosis remains difficult because of its morphological and clinical characteristics suggesting a tumor process.

scholarly journals An extremely rare case of a gastric accessory spleen: case report and review of the literature

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Guiqin Chen ◽  
Lei Nie ◽  
Tijiang Zhang
Keyword(s):  
Rare Case ◽  
Accessory Spleen ◽  
Gastric Fundus ◽  
Pathological Examination ◽  
Review Of The Literature ◽  
Gastric Bleeding ◽  
Computed Tomographic ◽  
Normal Spleen ◽  
Elevated Lesion ◽  
Lesser Curvature

Abstract Background The accessory spleen has no anatomical or vascular relationship with the normal spleen, The tissue structure and physiological function of the accessory spleen are the same as those of the normal spleen, which usually locate in the splenic hilum and the tail of the pancreas. The aims of this manuscript are to present a rare case of the gastric accessory spleen and a review of the literature. Case presentation A 19-year-old male patient was sent to the emergency department with stomach bleeding after drinking alcohol. The computed tomographic scan showed a 1.2 cm × 1.7 cm mass at the lesser curvature of the gastric fundus. Gastrointestinal endoscopy displayed a submucosal elevated lesion on the gastric fundus, and gastrectomy was performed. Postoperative pathological examination proved an accessory spleen in the stomach. The postoperative course was uneventful, and the patient was discharged on the 6th day after the surgery. Conclusions The accessory spleen at the fundus of stomach is extremely rare, especially in this case, which is accompanied by acute gastric bleeding, and it is difficult to diagnosis before operation. Many literatures reported that it was misdiagnosis as tumor, so it is necessary to diagnose accessory spleen correctly.

scholarly journals Phantom Eye Syndrome: A Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Agda M. Andreotti ◽  
Marcelo C. Goiato ◽  
Eduardo P. Pellizzer ◽  
Aldiéris A. Pesqueira ◽  
Aimée M. Guiotti ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Drug Therapy ◽  
Phantom Pain ◽  
Direct Influence ◽  
Psychological Approach ◽  
Review Of The Literature ◽  
Eye Trauma ◽  
Pubmed Database ◽  
Before And After

The purpose of this literature review was to describe the main features of phantom eye syndrome in relation to their possible causes, symptoms, treatments, and influence of eye amputation on quality of life of anophthalmic patients. For this, a bibliographical research was performed in Pubmed database using the following terms: “eye amputation,” “eye trauma,” “phantom eye syndrome,” “phantom pain,” and “quality of life,” associated or not. Thirteen studies were selected, besides some relevant references contained in the selected manuscripts and other studies hallowed in the literature. Thus, 56 articles were included in this review. The phantom eye syndrome is defined as any sensation reported by the patient with anophthalmia, originated anophthalmic cavity. In phantom eye syndrome, at least one of these three symptoms has to be present: phantom vision, phantom pain, and phantom sensations. This syndrome has a direct influence on the quality of life of the patients, and psychological support is recommended before and after the amputation of the eyeball as well as aid in the treatment of the syndrome. Therefore, it is suggested that, for more effective treatment of phantom eye syndrome, drug therapy should be associated with psychological approach.

scholarly journals Splenogonadal fusion evaluation using Contrast Enhanced Ultrasound and Elastography. A case report.

2019 ◽  
Vol 21 (3) ◽  
pp. 356
Author(s):  
Sergio Grosu ◽  
Johannes Rübenthaler ◽  
Thomas Knösel ◽  
Matthias Trottmann ◽  
Julian Marcon ◽  
...  
Keyword(s):  
Case Report ◽  
Imaging Modality ◽  
Shear Wave Elastography ◽  
Splenic Tissue ◽  
Pathologic Examination ◽  
First Line ◽  
Splenogonadal Fusion ◽  
Rare Congenital Anomaly ◽  
Contrast Enhanced ◽  
Line Imaging

We present the case of splenogonadal fusion in a 53-year-old male patient assessed by ultrasound and MRI, confirmed by pathologic examination. In addition to B-mode and colour-coded Doppler ultrasound, shear wave elastography and CEUS were performed and are presented in detail. Splenogonadal fusion is a rare congenital anomaly presumably caused by an abnormal attachment of splenic tissue to the gonad during gestation. Diagnosis is challenging for clinicians and in unclear cases splenogonadal fusion might cause unnecessary orchiectomies with benign pathologic results. Ultrasound is the first-line imaging modality in the diagnosis of testicular pathologies. This case report summarizes all available modern ultrasound imagingtechnologies and highlights the possibilities for the diagnosis of splenogonadal fusion.

scholarly journals SEXUAL DISORDERS AFTER HEART TRANSPLANT

2020 ◽  
Vol 73 (10) ◽  
pp. 2277-2281
Author(s):  
Kamila Fuczyło ◽  
Magdalena Piegza ◽  
Robert Pudlo
Keyword(s):  
Quality Of Life ◽  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Heart Transplantation ◽  
Heart Transplant ◽  
Sexual Disorders ◽  
State Of Health ◽  
Review Of The Literature ◽  
Pubmed Database

The aim: To systematize and bring the reader closer to knowledge about the occurrence of sexual disorders in people after heart transplantation based on available bibliography. Material and methods: A review of the literature on this topic from the last 30 years made with using the PubMed database, using a total of 17 articles. Conclusions: The incidence of sexual dysfunction (SD) is higher in heart recipients than in the general population and erectile dysfunction is the most common. When the symptoms of dysfunction occur before the transplant – they do not improve, rather they get worse, which reduces the improvement in the quality of life of these patients compared to patients without sexual dysfunction. Improvement in quality of life is observed in patients with SD after heart transplantation, but not as pronounced as in subjects without sexual dysfunction. Some patients notice an increase in libido, with the genital response being insufficient or completely disappearing, which results in a decrease in the quality of relationships between partners and a deterioration in the quality of life. The cause of SD in heart recipients is unclear, but it is associated with the type of immunosuppression used, the level of sexual activity and the state of health of patients prior to transplantation. Nowadays patients after ortotrophic heart transplant live longer and their quality of life improves, but not in sexual terms. The articles concerned almost exclusively men, that is why the topic requires exploration in subsequent research.

scholarly journals Review of temporal bone dissection teaching: how it was, is and will be

2009 ◽  
Vol 124 (2) ◽  
pp. 119-125 ◽  
Author(s):  
A P George ◽  
R De
Keyword(s):  
Virtual Reality ◽  
Temporal Bone ◽  
Three Dimensional ◽  
Review Of The Literature ◽  
Anatomical Dissection ◽  
Pubmed Database ◽  
Fresh Frozen ◽  
History Of ◽  
Temporal Bone Anatomy ◽  
Three Dimensional Models

AbstractObjective:We aimed to review the history of anatomical dissection, and to examine how modern educational techniques will change the way temporal bone dissection is taught to otolaryngology trainees.Method:Review of the literature using Medline, Embase and PubMed database searches.Results:Temporal bone anatomy has traditionally been taught using cadaveric specimens. However, resources such as three-dimensional reconstructed models and ‘virtual reality’ temporal bone simulators have a place in educating the otolaryngology trainee.Conclusion:We should encourage the use of fresh frozen cadaveric temporal bone specimens for future otologists. Artificial three-dimensional models and virtual reality temporal bone simulators can be used to educate junior trainees, thus conserving the scarce resource of cadaveric bones.

Pineal Apoplexy: A Case Series and Review of the Literature

2021 ◽  
Author(s):  
Martin Majovsky ◽  
David Netuka ◽  
Radim Lipina ◽  
Jan Mraček ◽  
Vladimír Beneš
Keyword(s):  
Surgical Treatment ◽  
Pineal Gland ◽  
Clinical Significance ◽  
Obstructive Hydrocephalus ◽  
Case Series ◽  
Surgical Removal ◽  
Pineal Tumor ◽  
Review Of The Literature ◽  
Melatonin Secretion ◽  
Pubmed Database

Abstract Background Pineal apoplexy is a rare condition, with unknown incidence and clinical significance. To elucidate this clinical condition, we analyzed our own case series and performed a review of the literature. Methods We enrolled all patients with a hemorrhagic pineal apoplexy who were referred to our department between January 2000 and January 2020. Hemorrhagic pineal apoplexy was defined as the presence of fluid–fluid levels inside the pineal cyst (PC) on an axial or sagittal magnetic resonance scan. In one patient, after PC apoplexy, we performed a circadian melatonin sampling from peripheral blood to determine the function of the pineal gland. The PubMed database was searched for publications using the terms “pineal” and “apoplexy.” Results Eight patients were enrolled, of which three patients underwent surgical treatment and five patients were managed conservatively. One patient was tested for circadian melatonin secretion. Results confirmed melatonin secretion with preserved physiologic circadian rhythm.Our search of the literature led us to 31 studies that comprised 30 patients with apoplectic PC, 9 with apoplectic pineal tumor, and 1 with bleeding into the normal pineal gland. Most patients presented with headache, nausea, and vomiting, less frequently with acute hydrocephalus and gaze palsy. Twenty patients with a PC underwent resection or aspiration. Two patients underwent shunt placement as the only procedure and five received both shunt and surgical removal. Six patients with a PC were observed without surgical treatment. All the nine patients with a pineal tumor were operated on. In indicated cases, four patients received radiation therapy and one received chemotherapy. Conclusion Clinical significance of hemorrhagic pineal apoplexy ranges from an asymptomatic course to rapid deterioration and death. In patients with mild symptoms, observation is indicated, whereas surgical treatment is reserved for severe cases presenting with obstructive hydrocephalus and includes cerebrospinal fluid diversion, resection of apoplectic pineal lesions, or both.

scholarly journals Subcutaneous Splenosis of the Abdominal Wall: Report of a Case and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Evangelia Papakonstantinou ◽  
Vasileios Kalles ◽  
Ioannis Papapanagiotou ◽  
Theodoros Piperos ◽  
Dimitrios Karakaxas ◽  
...  
Keyword(s):  
Splenic Rupture ◽  
Histological Study ◽  
Splenic Tissue ◽  
Surgical Removal ◽  
Review Of The Literature ◽  
Rare Form ◽  
Benign Condition ◽  
Splenic Cell ◽  
Traumatic Splenic Rupture ◽  
Postoperative Scar

Splenosis is a common benign condition that occurs after splenic rupture via trauma or surgery. The mechanism behind splenic cell autotransplantation begins with the splenic rupture, either from trauma or surgical removal. Splenosis is usually found incidentally and, unless symptomatic, surgical therapy is not indicated. Subcutaneous splenosis is an extremely rare form of splenosis, mostly observed in abdominal surgical scars. We report a case of subcutaneous splenosis, as well as a comprehensive review of the literature. In our case, a 43-year-old woman who had splenectomy after traumatic splenic rupture at the age of 7 years old presented for plastic reconstruction of her postoperative scar. Upon surgery, two asymptomatic subcutaneous nodules were incidentally discovered. The presence of splenic tissue was confirmed by the histological study. The nodules were not excised, as the patient was not symptomatic.

A Rare Case of Female Splenogonadal Fusion

2009 ◽  
Vol 76 (2) ◽  
pp. 137-139 ◽  
Author(s):  
M. Arancio ◽  
C. Marchetti ◽  
G. Landi ◽  
A. Mina ◽  
A. Delsignore ◽  
...  
Keyword(s):  
World Literature ◽  
Congenital Abnormality ◽  
Rare Case ◽  
Review Of The Literature ◽  
Lower Abdomen ◽  
Splenogonadal Fusion ◽  
Rare Congenital Abnormality ◽  
Space Occupying Lesion

Splenogonadal fusion (SGF) is a rare congenital abnormality in which there is a fusion between spleen and gonad. Approximately 150 cases have been described in world literature. SGF can be continuous, where there is a connection between ectopic and orthotopic spleen, and discontinuous, with no connection. In our paper we report a case of SGF in a 36-year-old female with ultrasound and MR findings of space-occupying lesion in lower abdomen, and a review of the literature.

scholarly journals Clinical importance of the occipital artery in vascular lesions: A review of the literature

2019 ◽  
Vol 32 (5) ◽  
pp. 366-375 ◽  
Author(s):  
Yunbao Guo ◽  
Hao Chen ◽  
Xuan Chen ◽  
Jinlu Yu
Keyword(s):  
Clinical Importance ◽  
Vascular Supply ◽  
Vascular Lesions ◽  
Occipital Artery ◽  
Review Of The Literature ◽  
Brain Arteriovenous Malformation ◽  
Intraoperative Angiography ◽  
Supply Source ◽  
Pubmed Database ◽  
Donor Artery

The occipital artery (OA) is a critical artery in vascular lesions. However, a comprehensive review of the importance of the OA is currently lacking. In this study, we used the PubMed database to perform a review of the literature on the OA to increase our understanding of its role in vascular lesions. We also provided our typical cases to illustrate the importance of the OA. The OA has several variations. For example, it may arise from the internal carotid artery or anastomose with the vertebral artery. Therefore, the OA may provide a crucial collateral vascular supply source and should be preserved in these cases. The OA is a good donor artery. Consequently, it is used in extra- to intracranial bypasses for moyamoya disease (MMD) or aneurysms. The OA can be involved in dural arteriovenous fistula (DAVF) and is a feasible artery for the embolisation of DAVF. True aneurysms and pseudoaneurysms can occur in the OA; surgical resection and embolisation are the effective treatment approaches. Direct high-flow AVF can occur in the OA; embolisation treatment is a good option in such cases. The OA can also be involved in MMD and brain arteriovenous malformation (AVM) by forming transdural collaterals. For a patient in the prone position, if occipital and suboccipital craniotomies are performed, the OA can also be used for intraoperative angiography. In brief, the OA is a very important artery in vascular lesions.

scholarly journals Splenogonadal Fusion – Not Just Another Hydrocoele

2006 ◽  
Vol 88 (2) ◽  
pp. 163-164 ◽  
Author(s):  
KP Kennedy ◽  
S Barnard ◽  
MJ Speakman
Keyword(s):  
Case Report ◽  
Congenital Abnormality ◽  
Short Review ◽  
Review Of The Literature ◽  
Splenogonadal Fusion ◽  
Cautious Approach ◽  
Rare Congenital Abnormality

Splenogonadal fusion is a rare congenital abnormality. In this case report, the diagnosis of splenogonadal fusion was made after the removal of an abnormal mass at ‘routine’ left herniotomy. A cautious approach at surgery resulted in no apparent damage to the testicle. A short review of the literature is included.

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