Splenogonadal Fusion Discovered by Testicular Torsion

• Main Authors: Nahla Hmidi (Author), Dorsaf Makhlouf (Author), Rachida Laamiri (Author), Nahla Kechiche (Author), Badii Hmida (Author), Amine Ksia (Author), Lasaad Sahnoun (Author), Mongi Mekki (Author), Mohsen Belguith (Author), Abdellatif Nouri (Author)
• Format: Book
• Published: Pediatric Surgery Research Center of Shahid Beheshti University of Medical Sciences, 2020-08-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2423-7612; 10.22037/irjps.v6i1.31705
• Keywords: splenogonadal fusion; testis; torsion; Pediatrics; RJ1-570
• Source: Iranian Journal of Pediatric Surgery, Vol 6, Iss 1, Pp 50-53 (2020)

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.