Complete epididymal separation presenting as polyorchidism

Abstract

We describe an unusual case of a 21-month-old boy with complete separation of the testis and epididymis. Two homogeneous structures were observed in the scrotum of a newborn boy in addition to a third structure. Polyorchidism was suspected, but follow-up sonographic studies showed a decrease in the echogenicity of the left scrotal structure. Surgical exploration revealed the testis and epididymis to be completely separated, with no duplicated testis. Orchidopexy was then performed.

Polyorchidism: a case report and classification

“…a newborn diagnosed as polyorchidism by ultrasound during initial examination and 2 follow-up studies. Only surgical exploration, performed at 21 months after the first study, revealed the true nature of the additional oval structure [7].…”

Polyorchidism in ultrasound examination: A case report

“…The accessory testis has echogenic and vascular pattern identical to normal testes respectively) (Akbar et al, 2003). There are studies suggesting that imaging techniques can sometimes be unable to definitely differentiate polyorchidism from other intrascrotal pathologies (Bergholz & Wenke, 2009;Graif, Gakhal, Iacocca, & Levy, 2014;Zuppa et al, 2006). Accordingly, some authors recommend use of histologic confirmation of the diagnosis.…”

Polyorchidism: A Case Report and Review

“…Because the patient took the surgical treatment in hospital for the left varicocoele and the a simple scrotal exploration suffice of the scrotum was performed along the way. Furthermore, close follow-up should be performed in our patient because masses were not been completed excluded [6][7][8]. Our plan was to examine it by ultrasound and other clinical examinations every three months.…”