A Unique Case of Pentaorchidism

Myers, Amanda; Morganstern, Bradley; Fine, Ronnie

doi:10.1016/j.urology.2017.03.017

Cited by 11 publications

(8 citation statements)

References 5 publications

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“…Ultrasound can rule out polyorchidism, so surgical exploration or biopsy may be not necessary. It has been reported that polyorchidism can be diagnosed by magnetic resonance imaging [5]. The diagnosis of polyorchidism was made by ultrasound and a simple scrotal exploration suffice in our patient.…”

Section: Discussionmentioning

confidence: 52%

Polyorchidism: A Case Report and Review

Pan¹,

Zhi²

2017

Br J Res

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Section: Discussionmentioning

confidence: 52%

Polyorchidism: A Case Report and Review

Pan¹,

Zhi²

2017

Br J Res

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“…It is a sporadic phenomenon, where there are no more reported cases in the literature. More than 50% of the all reported cases (about less than 200 cases) are detected in people between 10 to 25 years old [1,2] and most of the discovered cases had less than four testicles [3]. In this case, we report a 13-month old case with five testicles.…”

Section: Introductionmentioning

confidence: 70%

Five testicles in the genital area of a thirteen-month-old baby: a case report

et al. 2020

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Background: Polyorchidism is a congenital anomaly of the urogenital system and means more than two testes. It is a rare phenomenon, where there are no more than 200 reported cases in the literature. In this case, we report a 13-month year's old case with five testicles. Case presentation: We report a rare five testicles in the genital area of a 13-month-old baby. The initial diagnosis was undescended testis (UDT) based on ultrasound findings where a testis in the abdomen and a testis in the inguinal canal were detected. Surgery with general anaesthesia was performed to diagnose and treat this case. Before surgery, four HCG 1200u injections were administered. During the operation, it was determined that the case had had five testicles. Testicles were on the left in the proximal inguinal canal, and the sac hernia was ligated parallel to the inner ring. The patient was followed up several times after surgery by a urologist, and the results showed that there were no problems, and the intervention was uncomplicated. Conclusion: Based on the result, it is not possible to diagnose such cases only by examination or ultrasound in infant patients, as the patient often presents with undescended testis (UDT), so the disease is diagnosed only through surgery.

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“…Pentaorchidism is an extremely rare anomaly that, to our knowledge, only two cases have been described in the literature hitherto (Myers et al, 2017; Zahirian Moghadam et al, 2020). More common pathologies such as spermatocele, hydrocele, varicocele or epididymal cysts are included in the differential diagnosis of polyorchidism, thus, imaging plays an imperative role in the initial diagnosis of polyorchidism (Ogul et al, 2014).…”

Section: Discussionmentioning

confidence: 97%

“…There is paucity of evidence in medical literature regarding the appropriate diagnostic workup and management of these cases. An approximate number of 250 cases were retrieved from 1931 to 2021 in the search of PubMed with ‘polyorchidism’, ‘polyorchism’ and ‘supernumerary testes’ keywords; only two cases of pentaorchidism (five testicles) were among them (Myers et al, 2017; Zahirian Moghadam et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Pentaorchidism diagnosed on ultrasound examination: A case report and literature review

Ojaghzadeh

Naji

Ensannezhad³

et al. 2022

Andrologia

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Polyorchidism is a congenital malformation of the urogenital system that is usually found incidentally in adolescent age groups. Ultrasound and MRI are effective noninvasive diagnostic modalities which can differentiate this condition from other intrascrotal pathologies. Ultrasonography is mostly used in initial steps of diagnostic approach; however, MRI is considered as a modality to confirm diagnosis and evaluate possible malignancy. We report an extremely rare case of pentaorchidism (five testicles), presented with a left hemiscrotum mass. Diagnosis was made based on physical examination, laboratory analysis (testicular germ cell tumour markers and semen analysis) and imaging. Finally, close surveillance with ultrasound and physical examination was recommended for follow-up of this uncomplicated patient.

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A Unique Case of Pentaorchidism

Cited by 11 publications

References 5 publications

Polyorchidism: A Case Report and Review

Polyorchidism: A Case Report and Review

Five testicles in the genital area of a thirteen-month-old baby: a case report

Pentaorchidism diagnosed on ultrasound examination: A case report and literature review

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