Discontinuous Splenogonadal Fusion: A Case Report

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.