Iranian Journal of Pathology

Splenogonadal Fusion Associated with Bilateral Cryptorchidism, Presenting as an Operative Surprise - Report of a Case

Document Type : Case Reports

Authors

Maryam Abolhasani 1
Mojgan Asgari 2
Hossein Keymoosi 3

1 Oncopathology Research Center, Tehran University of Medical Sciences, Tehran, Iran

2 Hasheminejad Clinical Research Developing Center (HCRDC), Tehran University of Medical Sciences, Tehran, Iran

3 Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran

Abstract
Splenogonadal fusion is a rare entity with approximately 150 reported cases until the year 2005. The entity is a rare congenital anomaly in which there is fusion of splenic and gonadal anlagen or mesonephric derivatives. Splenogonadal fusion has two continuous and discontinuous types. About ten cases have been reported to be associated with bilateral cryptorchidism in literature. Very few cases have been diagnosed preoperatively. Many cases present as a testicular swelling and undergo an unnecessary orchiectomy with the suspicion of a testicular neoplasm. Herein, we report a new case of discontinuous splenogonadal fusion in a 29 years old man with bilateral cryptorchidism who underwent surgery. Surprisingly two masses were noted adjacent to undescendent testis in left groin in operative room which were resected and proved to be a new case of splenogonadal fusion in histological exam.
 

Keywords

Splenogonadal Fusion
Bilateral Cryptorchidism
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  • Receive Date 04 April 2012
  • Accept Date 21 May 2012

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