Bilateral Polyorchidism Associated with Intraabdominal Cryptorchidism: A Case Report

Abstract

Objective: The aim of this study was to present a rare congenital anomaly of polyorchidism and to review the current management. Clinical Presentation and Intervention: We report the case of a 19-year-old man who was referred for the treatment of an indirect left inguinal hernia. The ultrasound demonstrated a testis on the right side with an additional mass. The preoperative laboratory studies were normal. At surgery, a solid mass consistent with an ectopic testis was removed. The histological evaluation showed the presence of a fourth testis without malignancy, confirming the diagnosis of bilateral, double testes associated with intraabdominal cryptorchidism, which was removed for histology. The postoperative endocrinological evaluation revealed hypergonadotrophic hypogonadism. The patient was followed up conservatively. Conclusion: Polyorchidism should be included in the differential diagnosis of a solid extratesticular mass, and its management should be conservative.

Management of supernumerary testis in an adult: case report and review

“…However, ten cases of bilateral polyorchidism have been reported to date (Deveci et al. , 2004; Veloudis et al. , 2009).…”

Perspectives in Pediatric Pathology, Chapter 9. Alterations in the Number and Location of the Testis

“…This congenital malformation, characterized by the presence of more than 2 testes in the same individual, is a rare anomaly with approximately 200 cases reported [80][81][82].…”