Abstract

SILVA, Miguel Correia da et al. Polyorchidism: A Rare Entity as an Incidental Finding. Acta Radiol Port [online]. 2023, vol.35, n.1, pp.32-34.  Epub Apr 30, 2023. ISSN 2183-1351.  https://doi.org/10.25748/arp.27611.

Polyorchidism is a rare condition. Its diagnosis is mostly incidental and its management is still a matter of debate. Herein we report a case of triorchidism and its management.

A 6-year-old boy presented with asymptomatic left scrotal swelling. Scrotal ultrasound confirmed hydrocele and described a supernumerary testis on the left side, along with bilateral testicular microlithiasis. Intraoperative examination of the scrotal content confirmed triorchidism: two testicular masses sharing the same epididymis and vas deferens. Preservation of both units was decided and considering the free movement between them and the inherent risk of torsion, a fixation suture was accomplished. The postoperative recovery was uneventful.

According to the scarce reports on literature, since testicular drainage into a shared vas deferens was confirmed, no resection was pursued. Considering the increased risk of malignancy, an annual ultrasound follow-up was recommended.

Keywords : Polyorchidism; Triorchidism; Microlithiasis; Ultrasound; Spermatogenesis; Malignancy..

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