Abstract
Splenogonadal fusion is a rare congenital anomaly that presents as a testicular mass and is clinically difficult to distinguish from primary malignancy. It is a benign condition which commonly results in a radical orchidectomy. This case report describes a 22-year-old male with a new multi-focal lesion discovered on self-examination. It aims to provide additional information in hopes of supporting other surgeons to diagnose this condition and prevent unnecessary radical orchidectomy.