“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