Splenogonadal fusion presenting as a testicular mass, a case report and literature review

Splenogonadal fusion presenting as a testicular mass, a case report and literature review

Splenogonadal fusion is a rare, frequently misdiagnosed, congenital anomaly in which the splenic tissue is abnormally attached to the gonadal or mesonephric remnants. It is commonly found as an incidental finding at autopsy, during orchiopexy or hernia repair. However, it can present as a testicular...

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Bibliographic Details
Main Authors: Leen Alkukhun, MD, Alyssa Ionno, MD, Meghan Stanton, MD, Serenella Serinelli, MD, PhD, Ryan Baker, BS, Ravikumar Hanumaiah, MD, Anand Majmudar, MD
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Radiology Case Reports
Subjects:
Testicular mass
Splenogonadal fusion
Scrotal mass
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322000656
Description
Summary:Splenogonadal fusion is a rare, frequently misdiagnosed, congenital anomaly in which the splenic tissue is abnormally attached to the gonadal or mesonephric remnants. It is commonly found as an incidental finding at autopsy, during orchiopexy or hernia repair. However, it can present as a testicular mass or as an acute scrotal pathology such as testicular torsion or epididymoorchitis. It poses as a diagnostic challenge preoperatively and often leads to unnecessary orchiectomy.We present a case of a 15-year-old male who presented with a long-standing left testicular mass thought to be a testicular tumor. Resection of the lesion along with partial left orchiectomy was done and histopathologic evaluation revealed splenogonadal fusion.
ISSN:1930-0433

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