Symptomatic splenogonadal fusion with splenic torsion in an adolescent female

Splenogonadal fusion is a rare entity found predominantly in males and often asymptomatic or mildly symptomatic. Here we report a case of symptomatic splenogonadal fusion in a female. She presented with abdominal pain and was found to have splenic torsion that required operative detorsion and partial splenectomy. We further review outcomes and prognosis of this benign con-dition in males which suggest that the abnormal ovary should be preserved in females with this rare anomaly.