ESPU Congress 2018 - Abstract Book

CONGRESS OF THE ESPU

CONCLUSIONS

Bilateral NPT presenting with TTE is rare. Due to the frequent anomalies of deferens we propose

that bilateral FSP with a whole descent of the gonads though the same canal might minimize the

risk of testicular vascularization and vas deferens injury offering a better outcome. Longer follow up

for hormonal and spermatogenesis should be assess in the future.

14:28–14:30

S2-10 (CP)

SPLENO-GONADAL FUSION - RARE CONGENITAL

ANOMALY, WHICH CAN BE DIAGNOSED AND TREATED

BY LAPAROSCOPY

Piotr GASTOL, Kinga KOWALCZYK, Lidia SKOBEJKO-WLODARSKA and Margaret

BAKA-OSTROWSKA

The Children's Memorial Health Institute, Peadiatric Urology, Warsaw, POLAND

PURPOSE

Spleno-gonadal fusion is a very rare congenital anomaly resulting from abnormal adherence

between spleen and testis. This fusion can be continuous or discontinuous. It frequently associ-

ated with orophasial and/or limb abnormalities. The diagnosis is almost made as an accidental

finding during orchidectomy for presumed testicular tumor or during orchidopexy or hernioplasty.

We present our experiece with two cases.

MATERIAL AND METHODS

Two boys, age 7 and 6 years, with an undescendend left testis since birth. They also suffered from

deficit of weight, high and some kind of limbs malformation. First, when he was 2 years old, he un-

derwent exploration of the left inguinal canal and retroperitoneal space with biopsy of the testis fused

with brown-reddish tissue in local hospital. Histopatological examination revealed spleno-gonadal

fusion. In the second case, USG showed mass with structure of spleen in left retroperitoneal space.

They were admitted to our department for surgical evaluation and treatment.

RESULTS

During laparoscopy, in both cases, we found hypoplastic, retained testis in the retroperitoneal space,

adhered with splenic continuous cord. Orchidectomy was performed. Histopatological examination

revealed spleno-gonadal fusion and hypoplastic testis without spermatogenesis.

CONCLUSIONS

1. Spleno-gonadal fusion is a rare congenital anomaly, which is seldom diagnosed or suspected

preoperatively.

2. Spleno-gonadal fusion must always be remembered in the differential diagnosis of a non-palpable

testis.

3. Laparoscopy is good method in evaluation and treatment boys with abdominal cryptorchidism.

14:30–14:40

Discussion