Abstract
Splenogonadal fusion is a rare cause of scrotal swelling. We present a case of a 9-year-old boy with a left testicular mass and phocomelia who was found to have splenogonadal fusion upon scrotal exploration. We discuss the etiology, pathophysiology and management of splenogonadal fusion.
Highlights
Splenogonadal fusion (SGF) is a rare congenital abnormality caused by the abnormal fusion of splenic and gonadal tissues early in development and subsequent joint migration toward the scrotum
We present a case of a 9year-old boy presenting with a painless left testicular mass whose intraoperative findings revealed SGF
In continuous SGF, which is slightly more common (55% of occurrences), the normal spleen remains attached to the gonad by a fibrous band of splenic tissue that transverses the peritoneal cavity
Summary
Introduction Splenogonadal fusion (SGF) is a rare congenital abnormality caused by the abnormal fusion of splenic and gonadal tissues early in development and subsequent joint migration toward the scrotum. We present a case of a 9year-old boy presenting with a painless left testicular mass whose intraoperative findings revealed SGF. Case report A 9-year old boy presented to clinic with presumed left testicular enlargement which was painless and had been present for at least 2 years. Slongo et al / Pediatr Urol Case Rep. 2019; 6(3):55-58 note, the patient had a previous abdominal US revealing a normal spleen.
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