Splenogonadal fusion in which the spleen is attached to the left testis of a 1 year-old.

Here's this really interesting case of a 15-year-old boy who was admitted to the emergency department following blunt abdominal trauma.
The computed tomographic scan showed a traumatic rupture of the spleen and a 7-cm mass at the left side of the retroperitoneal space. Conservative treatment started and aborted after 4 h due to the onset of haemodynamic instability. Splenectomy was performed. And an accessory spleen was discovered. A second large mass in the retroperitoneum was diagnosed as a second large accessory spleen that was also left in place. The postoperative course was uneventful, and the patient was discharged on the 7th postoperative day. Seven months later, the CT scan showed viability of both accessory spleens.

باختصار: صار عنده splenic rupture بس طلع عنده two accessory spleens عوضن مكان الأصلي😂

The boy's accessory spleens after the original spleen ruptured:

S6 E9 of House MD shows this condition

A terrible side-effect of anti-dopaminergic drugs (neuroleptic drugs). Patients with schizophrenia, bipolar, and fetal alcohol syndrome are a lot more susceptible for this side-effect.

GBV-C virus (formerly known as hepatitis G virus, HGV) seems to have protective effect on HIV patients. Many studies have shown that it reduces the morbidity and mortality of HIV infection, especially those associated with liver cirrhosis.

باختصار: فايروس الـ GBV-C ممكن يقلل شدة الـ HIV infection

Etiology

ERCP: Endoscopic Retrograde CholangioPancreatography

Clinical presentation

Differential diagnosis

Workup

Pathophysiology, SIRS, third spacing, and ARDS

Treatment