Al-Bdairi Furqan J, Altoriahi Kaswer M, Alqzweni Aseel A, Almayali Jasim A, Kraidi Maytham A
Department of Laboratory Medicine, Al-Sader Medical City, Najaf, IRQ.
Department of Pathology and Forensic Medicine, College of Medicine, University of Kufa, Najaf, IRQ.
Cureus. 2025 May 25;17(5):e84795. doi: 10.7759/cureus.84795. eCollection 2025 May.
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.
脾性腺融合（SGF）是一种罕见的先天性异常，在妊娠期间副脾组织与睾丸融合。根据脾脏与性腺之间是否存在解剖学连接，SGF可分为连续型和不连续型。由于其表现不常见，SGF很容易误导临床医生，可能导致不必要的睾丸切除术。在本病例报告中，一名27岁男性因自我检查发现左侧阴囊渐进性无痛肿块一年就诊，有原发性不孕和精索静脉曲张病史。进行了左侧睾丸切除术，组织病理学检查证实为不连续型SGF。
