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Splenogonadal fusion

Case contributed by Ines Nikolovski
Diagnosis almost certain

Presentation

Self-detected left testicular lump.

Patient Data

Age: 25 years
Gender: Male
ultrasound

Homogeneous hypervascular mass in the superior left testis, isoechoic to mildly hypoechoic to surrounding parenchyma and causing mild bulging of the capsule, measuring 2.0 x 1.2 x 1.9 cm.

Case Discussion

The patient underwent left orchiectomy. The final pathological diagnosis was ectopic splenic tissue adjacent to testicular parenchyma, consistent with splenogonadal fusion, discontinuous type.

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