Rare content in congenital inguinal hernia: splenogonadal fusion band

Abstract

21 years old male underwent elective inguinal exploration for left congenital hernia. Per- operatively, an elongated, purplish-red, fleshy and beaded band of tissue was found inside the sac, adherent to the upper pole of testis. Biopsy was taken and the wound closed. A diagnostic laparoscopy was done in the same setting to visualize the origin of the band proved it to be from spleen. The histo-pathology of the specimen was reported as normal splenic tissue. The above features are consistent with a diagnosis of spleno - gonadal fusion (SGF) (splenic anomaly).