Splenogonadal fusion in a boy: case report and review of literature

ABSTRACT

We report an unusual case of splenogonadal fusion in a four-year-old boy with history of bilateral undescended testes. He had presented to us when he was one month old with an empty scrotum. On clinical examination he had bilateral undescended testes. The right testis was palpable in the inguinal region and the left was not palpable. No other anomaly was detected on clinical examination. Right orchidopexy was done at three years of age. Left impalpable testis was subsequently managed by left groin exploration which revealed no testis. Hence exploratory laparotomy was done. An intrabdominal left testis was found which had two abnormal-looking fleshy masses on its superior pole. Excision biopsy of these nodules was done and first stage orchidopexy was performed as it was difficult to mobilize the testis up to the left scrotum. Biopsy of the nodules revealed Splenogonadal fusion; hence we were justified in saving the testis. Second-stage orchidopexy was done after three months to fix the testis in the left scrotum