# Discontinuous Splenogonadal Fusion: A Case Report

## TL;DR

A 27-year-old man with a scrotal mass was diagnosed with a rare condition called discontinuous splenogonadal fusion after undergoing surgery.

## Contribution

This case report adds to the limited literature on discontinuous splenogonadal fusion and highlights its potential to mimic testicular pathology.

## Key findings

- The patient had a painless scrotal mass and a history of infertility and varicocele.
- Histopathology confirmed the diagnosis of discontinuous splenogonadal fusion after orchiectomy.
- The case emphasizes the importance of accurate diagnosis to avoid unnecessary surgery.

## Abstract

Splenogonadal fusion (SGF) is a rare congenital anomaly in which accessory splenic tissue fuses with the testis during gestation. SGF is classified into continuous and discontinuous types, depending on the presence or absence of an anatomical connection between the native spleen and the gonads. Due to its uncommon presentation, SGF can easily mislead clinicians, potentially resulting in unnecessary orchiectomy. In this case report, a 27-year-old male presented with a progressive, painless left scrotal mass for one year, noted on self-examination, and had a history of primary infertility and varicocele. A left orchiectomy was performed, and histopathologic examination confirmed the discontinuous type of SGF.