UNEXPECTED TISSUE IN THE PARATESTICULAR REGION: SPLEEN

ABSTRACT
Splenogonadal fusion(SGF) is a rare congenital anomaly characterized by the fusion of the spleen and gonad. Most of the reported cases are males whose splenic tissue is in the form of a mass or paratesticular mass located in the testis. SGF typically presents as left-sided scrotal swelling, left inguinal hernia, scrotal mass, or cryptorchidism. In this paper, we presented a case of splenogonadal fusion which was detected on ultrasonography(USG) but could not be characterized in an 8-year-old male with left inguinal hernia, bilateral undescended testes. Preoperative diagnosis of SGF is often difficult. Most surgeons choose radical therapy to reduce the risk of incomplete malignancy surgery. The awareness of urologists, and especially pediatric surgeons, to avoid unnecessary, life-changing radical orchiectomy may make testis-sparing surgery possible in future cases.