A CASE REPORT OF DISCONTINUED SPLENOGONADAL FUSION MASQUERADED AS PARATESTICULAR TUMOR

Splenogonadal fusion is a rare congenital anomaly characterized by an unusual linkage between ectopic splenic tissue and the gonad, with a higher prevalence observed in the males. While the majority of the splenogonadal fusion cases are associated with cryptorchidism, the patients may have other congenital malformations such as inguinal hernias. Despite being benign and having a rare occurrence, the preoperative diagnosis of splenogonadal fusion is a challenging one. In this article, the author reports an unusual case of splenogonadal fusion in a 21-year-old male who presented with a left scrotal mass, pain, and discomfort. Based on the Doppler ultrasound and magnetic resonance imaging findings, the patient was diagnosed with a paratesticular adenomatoid tumor, however, post-excisional histopathologic evaluation findings were indicative of splenogonadal fusion. For benign para-testicular masses, the patients can undergo surgical tumor removal without orchiectomy, however, the diagnosis is often confirmed following orchidectomy. The physicians shall consider the potential rare diagnosis of splenogonadal fusion in patients presenting with scrotal mass as well as acquire knowledge pertaining to the clinical and radiological features of the disease to prevent unnecessary orchidectomy.