A 23-year-old male presented with a mass adjacent to the upper pole of the left testis as an incidental finding in the absence of trauma or inflammation.
She had no history of testicular maladescense.
On examination, the tests were normal, with a 2 cm nodule, hard and painless in relation to the upper pole of the left test.
Analytically nothing to highlight, with normal numbers of germ cell tumor markers.
There was no hydrocele on ultrasound, with normal size and normal size test around 35 mm in length, with a homogeneous epididymal nodule being echoed equally as the 20 mm test.
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It was decided to perform a surgical intervention, during which a well-defined, 2 cm mass of surprising red color was found, which was easily dissected from the upper pole of the testis and epididymis, making the test possible.
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Histologically, splenic tissue was diagnosed without microscopic alterations, with preserved architecture and presence of white pulp with germinal centers, red pulp with venous sinuses and Billroth cords.
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At 16 months the patient is asymptomatic with a physical examination within normal limits.
