Case Report
“Rosary of Testes”: Splenogonadal Fusion in Association with Bilateral Abdominal Testes Presenting as Polyorchidism
Table 1
Differential characteristics of splenogonadal fusion and polyorchidism.
| | Splenogonadal fusion | Polyorchidism |
| Cases reported to date (approx.) | 170 | 150 |
| Laterality | Almost always left | L > R |
| Associated anomalies | Hernia, cryptorchidism, limb, and facial defects | Cryptorchidism |
| Sonographic findings | Homogeneous solid isoechoic | Homogeneous solid isoechoic |
| Tc sulfur colloid scan | Strong uptake | No uptake |
| MRI | Signal distinct from normal testis | Same as normal testis |
| Histology | Splenic pulp | Testicular tissue |
| Complications | Enlargement along with other causes of splenomegaly | Enlargement and pain with torsion or tumoral degeneration |
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