A bolt from the blue in a testicular mass - continuous Splenogonadal fusion with maturation arrest

Authors

DOI:

https://doi.org/10.4322/acr.2023.442

Keywords:

Splenogonadal fusion, Continuous variant, testicular mass, orchiectomy, maturation arrest

Abstract

Splenogonadal fusion is an infrequent cause of testicular or scrotal swelling with less than 250 cases reported. We report the case of a 27-year-old male who presented with painless scrotal swelling. The sonography showed a homogeneous, well-encapsulated left extratesticular mass, which was surgically removed. The gross examination revealed a grey-brown tissue below the left testis. The microscopy of the grey-brown mass revealed splenic tissue, and the testis showed maturation arrest, resulting in the diagnosis of splenogonadal fusion. These can be easily mistaken for a tumor, especially in this age group. Reporting such an entity increases awareness among clinicians, radiologists and pathologists, which will aid in preventing an orchiectomy for these patients.

Downloads

Download data is not yet available.

References

Chiaramonte C, Siracusa F, Li Voti G. Splenogonadal

fusion: a genetic disorder?-Report of a case and review

of the literature. Urol Case Rep. 2014;2(2):67-9. http://

dx.doi.org/10.1016/j.eucr.2014.01.003. PMid:26952691.

Bostroem E. Demonstration of a preparation of adhesion

of the spleen to the left testicle. In: Society of German

Natural Scientists and Physicians, Negotiations of the

th Meeting; 1883; Freiburg. Freiburg; 1883.

Lin CS, Lazarowicz JL, Allan RW, Maclennan GT.

Splenogonadal fusion. J Urol. 2010;184(1):332-3. http://

dx.doi.org/10.1016/j.juro.2010.04.013. PMid:20488470.

Lopes RI, Medeiros MT, Arap MA, Cocuzza M, Srougi

M, Hallak J. Splenogonadal fusion and testicular cancer:

case report and review of the literature. Einstein (Sao

Paulo). 2012;10(1):92-5. http://dx.doi.org/10.1590/

S1679-45082012000100019. PMid:23045834.

Putschar WG, Manion WC. Splenicgonadal fusion. Am J

Pathol. 1956 Jan-Feb;32(1):15-33. PMID: 13275562.

McPherson F, Frias JL, Spicer D, Opitz JM, Gilbert-Barness

EF. Splenogonadal fusion-limb defect “syndrome” and

associated malformations. Am J Med Genet A. 2003

Aug 1;120A(4):518-22. http://dx.doi.org/10.1002/

ajmg.a.10728. PMID: 12884431.

Varma DR, Sirineni GR, Rao MV, Pottala KM, Mallipudi

BV. Sonographic and CT features of splenogonadal

fusion. Pediatr Radiol. 2007;37(9):916-9. http://dx.doi.

org/10.1007/s00247-007-0526-x. PMid:17581747.

Carragher AM. One hundred years of splenogonadal

fusion. Urology. 1990;35(6):471-5. http://dx.doi.

org/10.1016/0090-4295(90)80097-7. PMid:2191479.

Malik RD, Liu DB. Splenogonadal fusion: an unusual case

of an acute scrotum. Rev Urol. 2013;15(4):197-201.

PMid:24659917.

Chen G, Wang X, Zhao Y, Zhu L, Tang D. Splenogonadal

fusion: a case report and review of the literature. BMC

Urol. 2021;21(1):16. http://dx.doi.org/10.1186/s12894-

-00781-z. PMid:33536002.

Speare R, Roberts J, Cohen M, Wales J. Splenogonadal

fusion and sex reversal. J Pediatr Endocrinol Metab.

;25(5-6):541-2. http://dx.doi.org/10.1515/jpem2012-0063. PMid:22876552.

Marwah N, Bhutani N, Kalra R, Kajal P. Accessory spleen

within the scrotum. J Pediatr Surg Case Rep. 2019;42:19-

http://dx.doi.org/10.1016/j.epsc.2018.12.009.

Ferrón SA, Arce JD. Discontinuous splenogonadal

fusion: new sonographic findings. Pediatr Radiol.

;43(12):1652-5. http://dx.doi.org/10.1007/s00247-

-2730-1. PMid:23754542.

Atuan RF, Prades PB, Esgueda AG, et al. Splenogonadal

fusion: case report and review of literature. J Pediatr Surg

Case Rep. 2013;1(10):375-7. http://dx.doi.org/10.1016/j.

epsc.2013.10.004.

Kadouri Y, Carnicelli D, Sayegh HE, Benslimane L,

Nouini Y. Pathogenesis, diagnosis, and management

of splenogonadal fusion: a literature review. Case

Rep Urol. 2020;2020:8876219. http://dx.doi.

org/10.1155/2020/8876219. PMid:33101755.

Downloads

Published

2023-08-08

Issue

Vol. 13 (2023)

Section

Clinical Case Report

License

Copyright (c) 2023 Autopsy and Case Reports

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors of articles published by Autopsy and Case Report retain the copyright of their work without restrictions, licensing it under the Creative Commons Attribution License - CC-BY, which allows articles to be re-used and re-distributed without restriction, as long as the original work is correctly cited.

How to Cite

Thotadamane Nagaraja Chandrashekhar, Priyadharshini Bargunam, & Ragashree Apparasanahalli Siddalingamurthy. (2023). A bolt from the blue in a testicular mass - continuous Splenogonadal fusion with maturation arrest. Autopsy and Case Reports, 13, e2023442. https://doi.org/10.4322/acr.2023.442