Case of the month #173: splenogonadal fusion.

A previously healthy 17-year-old man presented to the emergency department after involvement in a physical altercation in which he was repeatedly struck in the left flank region. He complained of left upper quadrant abdominal pain and hematuria. On examination, there was tenderness to palpation over the left upper quadrant and left flank. Urine dip was positive for blood. Computed tomography (CT) of the abdomen and pelvis was performed to rule out renal injury.