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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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:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322000656
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author Leen Alkukhun, MD
Alyssa Ionno, MD
Meghan Stanton, MD
Serenella Serinelli, MD, PhD
Ryan Baker, BS
Ravikumar Hanumaiah, MD
Anand Majmudar, MD
author_facet Leen Alkukhun, MD
Alyssa Ionno, MD
Meghan Stanton, MD
Serenella Serinelli, MD, PhD
Ryan Baker, BS
Ravikumar Hanumaiah, MD
Anand Majmudar, MD
author_sort Leen Alkukhun, MD
collection DOAJ
description 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.
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spelling doaj.art-14f3fa3e8e074eb9b17babf3f6f8297c2022-12-22T00:43:16ZengElsevierRadiology Case Reports1930-04332022-06-0117621912194Splenogonadal fusion presenting as a testicular mass, a case report and literature reviewLeen Alkukhun, MD0Alyssa Ionno, MD1Meghan Stanton, MD2Serenella Serinelli, MD, PhD3Ryan Baker, BS4Ravikumar Hanumaiah, MD5Anand Majmudar, MD6Department of Radiology, SUNY Upstate Medical University, Rm. 3428, 750 East Adams Street, Syracuse, NY 13210, USA; Corresponding author. L. Alkukhun.Department of Radiology, SUNY Upstate Medical University, Rm. 3428, 750 East Adams Street, Syracuse, NY 13210, USADepartment of Radiology, SUNY Upstate Medical University, Rm. 3428, 750 East Adams Street, Syracuse, NY 13210, USADepartment of Pathology, SUNY Upstate Medical University, Syracuse, NY, USADepartment of Radiology, SUNY Upstate Medical University, Rm. 3428, 750 East Adams Street, Syracuse, NY 13210, USADepartment of Radiology, SUNY Upstate Medical University, Rm. 3428, 750 East Adams Street, Syracuse, NY 13210, USADepartment of Radiology, SUNY Upstate Medical University, Rm. 3428, 750 East Adams Street, Syracuse, NY 13210, USASplenogonadal 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.http://www.sciencedirect.com/science/article/pii/S1930043322000656Testicular massSplenogonadal fusionScrotal mass
spellingShingle Leen Alkukhun, MD
Alyssa Ionno, MD
Meghan Stanton, MD
Serenella Serinelli, MD, PhD
Ryan Baker, BS
Ravikumar Hanumaiah, MD
Anand Majmudar, MD
Splenogonadal fusion presenting as a testicular mass, a case report and literature review
Radiology Case Reports
Testicular mass
Splenogonadal fusion
Scrotal mass
title Splenogonadal fusion presenting as a testicular mass, a case report and literature review
title_full Splenogonadal fusion presenting as a testicular mass, a case report and literature review
title_fullStr Splenogonadal fusion presenting as a testicular mass, a case report and literature review
title_full_unstemmed Splenogonadal fusion presenting as a testicular mass, a case report and literature review
title_short Splenogonadal fusion presenting as a testicular mass, a case report and literature review
title_sort splenogonadal fusion presenting as a testicular mass a case report and literature review
topic Testicular mass
Splenogonadal fusion
Scrotal mass
url http://www.sciencedirect.com/science/article/pii/S1930043322000656
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