Laparoscopy in the diagnosis and management of splenogonadal fusion: case report

Splenogonadal fusion: a radiologic-pathologic correlation and review of the literature

We present the case of a 29-year-old male who presented to his General Practitioner with a left testicular lump. Scrotal ultrasound examination revealed 4 well-defined, homogenous, mildly hypoechoic extratesticular mass lesions. He was referred for an urgent urological opinion and underwent local excision. Histologic analysis revealed splenic tissue resulting in the diagnosis of splenogonadal fusion.

Splenogonadal Fusion - A Rare Anomaly

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.

Splenogonadal fusion: Report of four cases and review of the literature

Splenogonadal fusion (SGF) is a rare congenital abnormality that affects children of both genders. Very few cases of SGF have been diagnosed preoperatively. In this study, the surgical findings and laparoscopic treatment of four children with SGF associated with intra-abdominal cryptorchidism are described. Laparoscopy was demonstrated to be the only accurate exploratory procedure for the diagnosis and surgical treatment of SGF with non-palpable testis.