Splenogonadal fusion is a rare developmental anomaly in which an abnormal connection between splenic tissue and gonads or mesonephric derivatives is present.
Here we present a case of young man with the complaint of primary infertility for 3 years. On evaluation (USG and MRI abdomen and pelvis), his right scrotal testis was atrophied and left intra-abdominal undescended testis. On laparoscopic assessment, a mass was seen on the left side due to continuous type of splenogonadal fusion for which excision and left orchidectomy were done. Postoperative period was uneventful and he was discharged under satisfactory condition. Splenogonadal fusion is a rare entity and it is commonly mistaken for testicular tumour. It should be considered in the differential diagnosis of testicular masses especially when there are associated congenital anomalies and preoperative laparoscopic assessment, should be done to avoid unnecessary radical surgery.
Written by:
Kumar S, Jayant K, Agrawal S, Parmar KM, Singh SK. Are you the author?
Department of Urology, PGIMER, Chandigarh 160012, India.
Reference: Case Rep Urol. 2014;2014:796761.
doi: 10.1155/2014/796761
PubMed Abstract
PMID: 24963439
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