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Case Reports
. 2020 Mar-Apr;25(2):115-117.
doi: 10.4103/jiaps.JIAPS_6_19. Epub 2020 Jan 28.

Splenogonadal Fusion - A Rare Anomaly

Santosh V Patil  1 , Priya Santosh Patil  2 , Vibhu D Sharma  1 , Sudhakar S Jadhav  1
Affiliations
Case Reports

Splenogonadal Fusion - A Rare Anomaly

Santosh V Patil et al. J Indian Assoc Pediatr Surg. 2020 Mar-Apr.

Abstract

Splenogonadal fusion (SGF) is a rare congenital anomaly. Less than 200 cases of SGF have been documented till date. We present a case of 14-year-old male patient with swelling in the left scrotum for 3 years. Left orchidectomy was done. Histopathology showed ectopic splenic tissue surrounding testicular parenchyma suggestive of SGF. This rare congenital malformation may occur due to the proximity of developing gonad and spleen, resulting in abnormal connection between them during gestation. SGF presents a diagnostic challenge preoperatively; however, recent imaging methods can aid with the diagnosis. SGF as a rare cause of testicular swelling should be kept in mind and evaluated to avoid unnecessary orchidectomy.

Keywords: Orchidectomy; splenogonadal fusion; testicular swellings.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Clinical presentation of splenogonadal fusion as left testicular swelling
Figure 2
Figure 2
Intraoperative testicular swelling showing congestion
Figure 3
Figure 3
Diagrammatic representation of cut section of testicular swelling showing testis in the center enveloped by the reddish-brown (splenic) tissue
Figure 4
Figure 4
Histopathology of testicular swelling showing spleen on the lower left side and testicular tissue on the upper right side
See this image and copyright information in PMC

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