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A congenital abnormal connection between an accessory spleen and a gonad is called splenogonadal fusion. The parent of a 3-y-old boy brought him to King Saud Medical City because he had left scrotal swelling that had begun 1 y previously. 99mTc-sulfur colloid (SC) imaging has superior sensitivity and specificity in targeting the liver, spleen, and bone marrow, in that these are the only organs that 99mTc-SC can visualize. Furthermore, if these tissues appear anywhere other than their usual locations, such as in the case of an accessory spleen, 99mTc-SC imaging can identify them even without biopsy or-in the case of splenogonadal fusion-orchiectomy. In the current case, the patient underwent laparoscopy, the masses were removed, and orchiectomy was avoided. Histopathologic examination confirmed normal splenic tissue, matching the imaging results. [ABSTRACT FROM AUTHOR]

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One of the most common malformations of the gastrointestinal tract is Meckel diverticulum (MD). MD complications can range from minor to major, such as intestinal obstruction, intussusception, hemorrhage, ulceration, vesicodiverticular fistulae, and tumors. Bleeding from ectopic gastric mucosa is more common in children than in adults. In the current case, MD in a 25-y-old man was diagnosed by 99m Tc-pertechnetate scanning. 99m Tc-pertechnetate scanning helps to diagnose MD noninvasively and has a potential role in the evaluation of MD even in adults., (© 2023 by the Society of Nuclear Medicine and Molecular Imaging.)

A congenital abnormal connection between an accessory spleen and a gonad is called splenogonadal fusion. The parent of a 3-y-old boy brought him to King Saud Medical City because he had left scrotal swelling that had begun 1 y previously. 99m Tc-sulfur colloid (SC) imaging has superior sensitivity and specificity in targeting the liver, spleen, and bone marrow, in that these are the only organs that 99m Tc-SC can visualize. Furthermore, if these tissues appear anywhere other than their usual locations, such as in the case of an accessory spleen, 99m Tc-SC imaging can identify them even without biopsy or-in the case of splenogonadal fusion-orchiectomy. In the current case, the patient underwent laparoscopy, the masses were removed, and orchiectomy was avoided. Histopathologic examination confirmed normal splenic tissue, matching the imaging results., (© 2022 by the Society of Nuclear Medicine and Molecular Imaging.)