Journal of Indian Association of Pediatric Surgeons (Jan 2020)

Splenogonadal fusion – A rare anomaly

  • Santosh V Patil,
  • Priya Santosh Patil,
  • Vibhu D Sharma,
  • Sudhakar S Jadhav

DOI
https://doi.org/10.4103/jiaps.jiaps_6_19
Journal volume & issue
Vol. 25, no. 2
pp. 115 – 117

Abstract

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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.

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