case_images: PMC10546646_01
case_images: Cross-section of the specimen showing the testis attached to ectopic splenic tissue (grey-brown mass) with a connecting cord.
case_images: autopsy-13-e2023442-g01.jpg
case_images: PMC10546646_01_autopsy-13-e2023442-g01.jpg
case_images: gf01
case_images: Grossly, the specimen showed a grey-brown mass attached to the inferior pole of the testis (Figure 1). The cut surface showed the inferior aspect of the testis and a part of the epididymis attached to the grey-brown mass (Figure 1).
case_images: A & B - Low and high magnification images of the ectopic splenic tissue showing white pulp, red pulp, and intertwining trabeculae (arrowheads) (H&E, 10x and 40x respectively); C - High magnification image of seminiferous tubules showing numerous spermatogonia, few spermatocytes and absent mature sperms suggestive of maturation arrest (H&E, 40x); D - Section from the cord showing splenic tissue separated by fibrous septae (H&E, 20 x).
case_images: autopsy-13-e2023442-g02.jpg
case_images: PMC10546646_01_autopsy-13-e2023442-g02.jpg
case_images: gf02
case_images: Paraffin-embedded H&E-stained sections from the mass showed a well-circumscribed lymphoid tissue covered with a thick fibrous capsule organized in follicles and separated by sinuses to form red and white pulp with intertwining fibrous septae. (Figures 2A and 2B). Section from the testicular tissue showed seminiferous tubules showing numerous spermatogonia, few spermatocytes and absent mature sperms suggestive of maturation arrest. (Figure 2C). Sections from the cord showed the entire cord replaced by the splenic tissue confirming the splenogonadal fusion (continuous variant) (Figure 2D).
case_images: A and B - Low power and high power images of the junction of the testicular and splenic tissue separated by a fibrous capsule (H&E, 10 x and 20x, respectively).
case_images: autopsy-13-e2023442-g03.jpg
case_images: PMC10546646_01_autopsy-13-e2023442-g03.jpg
case_images: gf03