Continuous type of intra-abdominal splenogonadal fusion. A case report with review of literature

Background: SplenoGonadal Fusion (SGF) is a very rare anomaly in which accessary splenic tissue are fused to the left testis. It is either continuous or discontinuous type. Many cases end up having orchidectomy due to lack of awareness of the condition as it mimic a testicular tumor. Case report: A 22 months old boy with severe penoscrotal hypospadias, bilateral impalpable testes and major cardiac anomalies, had a laparoscopy for his testes, which revealed left testicular mass with accessary splenic tissues attached to the upper pole. It was in turn connected to the normal spleen with a cord of splenic beads. Successful two stage FS procedure was performed for his testis. Conclusion: Possibility of SGF should be considered when seeing a testicular mass with accessary spleens attached to the testis.