Spleno-Gonadal Fusion Mimics Testicular Neoplasm on Ultrasound

Anuradha Chandramohan

doi:10.4172/2168-9857.1000144

Abstract

Abstract : We report case of intra testicular spleno-gonadal fusion which was detected on routine ultrasound of the scrotum performed for the work up of infertility. We discuss features which should alert urologists to consider a benign entity such as spleno-gonadal fusion.

Highlights

A 33-year-old male patient had an ultrasound of the scrotum while being evaluated for primary infertility
Since ultrasound findings were suggestive of testicular neoplasm, patient underwent left sided high inguinal orchiectomy
Histopathological examination revealed accessory splenic tissue in the left testis (Figure 2) and features were in keeping with splenogonadal fusion (SGF)

Summary

Introduction

A 33-year-old male patient had an ultrasound of the scrotum while being evaluated for primary infertility. He had no history of undescended testis or trauma. Ultrasound revealed a single well-defined homogeneous hypo echoic lesion in the upper pole of left testes. Lesion made acute angle of contact with rest of the testis and there was mild internal vascularity (Figure 1).

Results

Conclusion