Splenogonadal fusion: report of a case and review of the literature.
We report a case of splenogonadal fusion masquerading as a testicular tumor and review the etiology, the pathogenesis and the management of this rare disease. A 20-year-old male patient presented with clinical and radiological findings of a left testicular mass for which he underwent a left radical inguinal orchidectomy. Histopathology of the removed testicle revealed no tumor. The gonad was fused to ectopic splenic tissue, the later forming a distinct encapsulated mass attached to the lower pole of the testicle inside the tunica vaginalis. Splenogonadal fusion, although a rare condition, may account for a non-malignant testicular mass and should be suspected in young patients with other congenital anomalies.
Alivizatos
Gerasimos
G
Second Urology Department of Athens Medical School, Athens, Greece. gali@hol.gr
Skolarikos
Andreas
A
Sopilidis
Odysseas
O
Ferakis
Nikolaos
N
Chorti
Maria
M
D000328:Adult; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009919:Orchiectomy; D013154:Spleen / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D013733:Testicular Diseases / Q000175:diagnosis* / Q000601:surgery