Abstract
Splenogonadal fusion is a rare congenital malformation, which is an abnormal connection between the spleen and gonads or mesonephric remnants. It usually presents with left cryptorchidism, scrotal mass or left inguinal hernia. Here we present the first case report of splenogonadal fusion as large left scrotal mass leading to abdominoscrotal hydrocele in a 2-year-old boy.