Iranian Journal of Pediatric Surgery

Vol. 6 No. 1 (2020)

Splenogonadal Fusion Discovered by Testicular Torsion

Iranian Journal of Pediatric Surgery, Vol. 6 No. 1 (2020), 11 August 2020 , Page 50-53
https://doi.org/10.22037/irjps.v6i1.31705

Abstract

Splenogonadal fusion, which is adherence of splenic tissue to gonads, is an uncommon congenital anomaly which mainly affects males. Herein, we report a case of splenogonadal fusion in a 20-month-old boy presenting with acute scrotal pain and inflammation. With the suspicion of left testicular torsion, an emergent left scrotal exploration was carried out. It revealed a necrotic left testicle along with a 360° rotation of the spermatic cord and three accessory structures in the lower pole of the testicle. Histology showed the presence of a splenic tissue. Splenogonadal fusion can present as an acute condition mimicking a testicular torsion. But, one should always bear in mind the possibility of this association. Splenogonadal fusion should be included in differential diagnosis of testicular mass to avoid unnecessary orchidectomy.

Keywords:
  • Splenogonadal Fusion
  • Testis
  • Torsion

How to Cite

Hmidi, N. ., Makhlouf, D. ., Laamiri, R. ., Kechiche, N. ., Hmida, B. ., Ksia, A. ., … Nouri, A. . (2020). Splenogonadal Fusion Discovered by Testicular Torsion. Iranian Journal of Pediatric Surgery, 6(1), 50–53. https://doi.org/10.22037/irjps.v6i1.31705

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