A rare case of continuous type splenogonadal fusion in a young male with primary infertility.

Santosh Kumar,Kalpesh Mahesh Parmar,Shrawan Kumar Singh,Kumar Jayant,Swati Agrawal

doi:10.1155/2014/796761

Abstract

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.

Highlights

Splenogonadal fusion is a very uncommon developmental anomaly arising due to abnormal connection between developing splenic tissue from dorsal mesogastrium and gonadal or mesonephric derivatives
Ectopic splenic tissue is attached to the gonad but has no connection to the normally located spleen [3]
Continuous type of splenogonadal fusion has been associated with many anomalies, including cryptorchidism, which has been found in approximately 33% of the cases of splenogonadal fusion

Summary

Introduction

Splenogonadal fusion is a very uncommon developmental anomaly arising due to abnormal connection between developing splenic tissue from dorsal mesogastrium and gonadal or mesonephric derivatives. Such rare anomaly usually takes place during the 5th to 8th week of gestation, that is, before gonadal descent starts and presents as mass. The product fusion commonly diagnosed as a testicular mass of unknown origin in association with other congenital deformities [1]

Case Report

Findings

Discussion

Conclusion