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

Leen Alkukhun, MD; Alyssa Ionno, MD; Meghan Stanton, MD; Serenella Serinelli, MD, PhD; Ryan Baker, BS; Ravikumar Hanumaiah, MD; Anand Majmudar, MD

Radiology Case Reports (Jun 2022)

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

Leen Alkukhun, MD,
Alyssa Ionno, MD,
Meghan Stanton, MD,
Serenella Serinelli, MD, PhD,
Ryan Baker, BS,
Ravikumar Hanumaiah, MD,
Anand Majmudar, MD

Affiliations

Leen Alkukhun, MD: Department of Radiology, SUNY Upstate Medical University, Rm. 3428, 750 East Adams Street, Syracuse, NY 13210, USA; Corresponding author. L. Alkukhun.
Alyssa Ionno, MD: Department of Radiology, SUNY Upstate Medical University, Rm. 3428, 750 East Adams Street, Syracuse, NY 13210, USA
Meghan Stanton, MD: Department of Radiology, SUNY Upstate Medical University, Rm. 3428, 750 East Adams Street, Syracuse, NY 13210, USA
Serenella Serinelli, MD, PhD: Department of Pathology, SUNY Upstate Medical University, Syracuse, NY, USA
Ryan Baker, BS: Department of Radiology, SUNY Upstate Medical University, Rm. 3428, 750 East Adams Street, Syracuse, NY 13210, USA
Ravikumar Hanumaiah, MD: Department of Radiology, SUNY Upstate Medical University, Rm. 3428, 750 East Adams Street, Syracuse, NY 13210, USA
Anand Majmudar, MD: Department of Radiology, SUNY Upstate Medical University, Rm. 3428, 750 East Adams Street, Syracuse, NY 13210, USA

Journal volume & issue: Vol. 17, no. 6
pp. 2191 – 2194

Abstract

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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.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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