title: Discontinuous intrabdominal splenogonadal fusion with germ cell tumor. Excision with robotic assistence. Adult case report.
abstract: OBJECTIVE
  Present the case of a patient with a discontinuous intrabdominal splenogonadal fusion with an associated germ cell tumor.
  
  
  METHODS
  A case of a man of 29 years with bilateral cryptorchidism and left intra-abdominal discontinuous splenogonadal fusion associated with seminoma as an accidental  finding in the context of a robotic pyeloplasty due to ipsilateral ureteropelvic junction stenosis.
  
  
  RESULTS
  The total operative time was 80 minutes (atrophic gonad removal and pyeloplasty by the Anderson-Hynes technique) with an estimated blood loss less  than 100 cc. The hospitalization time was less than 36 hrs. The pathology and immunohistochemical report was compatible with intratubular germ cell neoplasia (seminoma).
  
  
  CONCLUSIONS
  The splenogonadal fusion is an uncommon pathology. While a high clinical suspicion may avoid unnecessary orchiectomy in young patients, its association with  disorders such as cryptorchidism should make us suspect the possible presence of a concomitant germ cell neoplasia.
authors.affiliation: Urology Department, Clinica Indisa, Faculty of Medicine Universidad Andres Bello, Santiago, Chile.
authors.forename: Laura
authors.initials: L
authors.lastname: Velarde Ramos
authors.forename: Francisco
authors.initials: F
authors.lastname: Sepulveda
authors.forename: Eloy
authors.initials: E
authors.lastname: Silva
authors.forename: Octavio A
authors.initials: OA
authors.lastname: Castillo
mesh_terms: D002648:Child; D003456:Cryptorchidism / Q000150:complications*; D006801:Humans; D008297:Male; D009373:Neoplasms, Germ Cell and Embryonal / Q000150:complications* / Q000601:surgery*; D009919:Orchiectomy; D012371:Robotics; D013154:Spleen / Q000002:abnormalities* / Q000473:pathology; D013158:Splenic Diseases / Q000473:pathology / Q000601:surgery*; D013733:Testicular Diseases / Q000473:pathology / Q000601:surgery*; D013737:Testis / Q000002:abnormalities* / Q000473:pathology; D013521:Urologic Surgical Procedures, Male / Q000295:instrumentation / Q000379:methods*