Author/Authors :
Hmidi, Nahla Department of pediatric surgery Fattouma Bourguiba University Hospital, Monastir, Tunisia , Makhlouf, Dorsaf Department of pediatric surgery Fattouma Bourguiba University Hospital, Monastir, Tunisia , Laamiri, Rachida Department of pediatric surgery Fattouma Bourguiba University Hospital, Monastir, Tunisia , Kechiche, Nahla Department of pediatric surgery Fattouma Bourguiba University Hospital, Monastir, Tunisia , Hmida, Badii Department of Radiology - Fattouma Bourguiba University Hospital, Monastir, Tunisia , Ksia, Amine Department of pediatric surgery Fattouma Bourguiba University Hospital, Monastir, Tunisia , Sahnoun, Laassad Department of pediatric surgery Fattouma Bourguiba University Hospital, Monastir, Tunisia , Mekki, Mongi Department of pediatric surgery Fattouma Bourguiba University Hospital, Monastir, Tunisia , Belghith, Mohsen Department of pediatric surgery Fattouma Bourguiba University Hospital, Monastir, Tunisia , Nouri, Adellatif Department of pediatric surgery Fattouma Bourguiba University Hospital, Monastir, Tunisia
Abstract :
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.
