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Grosu, Sergio; Ruebenthaler, Johannes; Knoesel, Thomas; Trottmann, Matthias; Marcon, Julian and Clevert, Dirk-Andre (2019): Splenogonadal fusion evaluation using Contrast Enhanced Ultrasound and Elastography. A case report. In: Medical Ultrasonography, Vol. 21, No. 3: pp. 356-358

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Abstract

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 CRIS 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 summarizs all available modern ultrasound imaging-technologies and highlights the possibilities for the diagnosis of splenogonadal fusion.

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