The continuous type of splenogonadal fusion: A rare case report and literature review

• DOI: 10.1016/j.ijscr.2023.109006
• Publication Date: 2023-11-04T08:53:52Z
• Authors: Quang Nguyen; Duy Khanh Nguyen; Huu Thao Nguyen; Xuan Truong Bui
• Keywords: Inguinal canal; Testicle; Orchiectomy

We report a rare case of the continuous type splenogonadal fusion (SGF) in young adolescent with preserved testis. A 19-year-old male patient history left inguinal hernia repair 10 years ago presented palpable mass on side. Computed tomography revealed 58x37mm tissue density 47HU, demonstrating vigorous enhancement following contrast administration and displaying well-defined margins testicle. It was noted to be growing vertically canal lower pole native spleen. The underwent laparoscopic surgery remove splenic tail abdomen separate scrotal spleen from testicle through tract. histopathological examination confirmed presence tissue. SGF is often diagnosed incidentally during exploration or for swelling mass, cryptorchidism, patients. important aware this condition avoid unnecessary radical orchiectomy. Diagnosing preoperatively can challenging. However, combination imaging modalities negative tests alpha-fetoprotein (AFP), lactate dehydrogenase (LDH), beta-human chorionic gonadotropin (b-HCG) aid making an initial diagnosis. use further improve diagnostic process, allowing clinicians accurately diagnose make well-informed treatment decisions.