Report of a boy with polyorchidism and a review of current knowledge regarding this unusual anomaly

Turkish Journal of Urology
Hasan Salih SağlamAkif Ergüven

Abstract

Polyorchidism is an extremely rare testicular malformation in children, and its etiology is unknown. There is an increased risk for testicular malignancy in these patients and a common association with other abnormalities, such as cryptorchidism, inguinal hernia, testicular torsion, hydrocele, and varicocele. There are insufficient data in the literature on the ideal management of polyorchidism. We report a 14-year-old boy with polyorchidism and review the current literature regarding this anomaly. Physical examination revealed a discrete, painless, left intrascrotal lump. αFP, β-hCG and LDH were normal. Scrotal ultrasound showed a well-circumscribed tissue in the left hemiscrotum measuring 2.5×2.0×1.3 cm and having the same echo-genicity as the normal testes. Color Doppler study and magnetic resonance imaging also confirmed the tissue as a third testis with its own epididymis draining to a common vas. The testis was left in situ, and the patient was managed conservatively. Polyorchidism should be considered in the differential diagnosis of all scrotal masses. The etiology of polyorchidism is thought to be accidental division of the genital ridge before 8 weeks of gestation. The cases are divided into two categories according t...Continue Reading

Citations

Feb 8, 2018·Ultrasound : Journal of the British Medical Ultrasound Society·Vasileios RafailidisDimitrios Sfoungaris
May 15, 2018·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Pardeep K MittalFrank H Miller
Aug 2, 2016·Clinics and Practice·Ajay H BhandarwarNimesh A Jain

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