Splenogonadal fusion: A rare paratesticular lesion and how to recognise it on ultrasound. (February 2020)

• Record Type: Journal Article
• Authors: Seager, Matthew John; Alexander, Sarah; Muneer, Asif; Walkden, Miles
• Is Part Of: Ultrasound. Volume 28:Number 1(2020:Feb.)
• Page Start: 54
• Page End: 57
• Publication Date: 2020-02
• Subjects: Sonography -- diagnostic imaging -- colour Doppler; Ultrasonic imaging -- Periodicals; Ultrasonography -- Periodicals; 616.0754305
• DOI: 10.1177/1742271X19876085
• Languages: English
• ISSNs: 1742-271X

Abstract

Introduction: Splenogonadal fusion is a rare developmental disorder that results in a gonadal or paragonadal mass due to the close proximity of the developing spleen and gonad. Case report: We describe a case of splenogonadal fusion presenting as a paratesticular mass in a 25-year-old male. This was ultimately diagnosed on surgical biopsy. Discussion: Splenogonadal fusion is a rare abnormality but can be managed conservatively. The sonographic features and the differential diagnosis are highlighted. Conclusion: Through this case, we highlight the clinical and sonographic features of splenogonadal fusion. Awareness amongst ultrasound practitioners is important, given that it can be managed conservatively, and means of a non-invasive diagnosis are highlighted.