Splenogonadal fusion presented with cryptorchidism.

CASE REPORT A 2-week-old boy was referred to our hospital for evaluation of left cryptorchidism. He was a result of a full-term normal pregnancy. The infant was well developed proportional to his age. On genital examination, the right testis was in normal size and located in the scrotum, but the left testis was not palpable in the scrotum. No other physical abnormalities were detected. Outpatient follow-up till the age of 1 year revealed no change in his clinical picture. Thus, left orchiopexy was planned. The operation was performed through a left lower-quadrant incision. After exploration, the left testis was found in the abdominal cavity adjacent to the lower pole of the left kidney. A reddish-brown structure appeared posteriorly. The incision was laterally extended and a cord of dark-red structure was found, which was in close relation to the spermatic cord and the vessels. The structure was traced to the lower pole of the spleen and excised completely (Figure). Then, the spermatic cord vessels were ligated, and finally after 3 months, a left orchiopexy-on-vas was performed. Histopathological examination of the structure revealed normal splenic tissue.