Laparoscopy in the Diagnosis and Management of Splenogonadal Fusion: Case Report

Splenogonadal fusion is a rare congenital anomaly involving abnormal fusion between the spleen and the gonad. The fusion can be continuous or discontinuous, depending on the presence or absence of a structural connection between the regular spleen and ectopic splenic tissue attached to the gonad. Clinical presentation is usually as a testicular mass, and diagnosis is in most cases accidental; sometimes other congenital abnormalities are present ]. We report the case of a child with a continuous type splenogonadal fusion which manifested itself as a testicular mass. The diagnosis and surgical treatment were suggested by diagnostic laparoscopy.