Incomplete unilateral polyorchidism (bilobed testicle) mimicking testicular tumour

Méndez-Gallart, Roberto; Estevez-Martinez, Elina; Rodríguez-Barca, Pablo; García-Palacios, María; Casasnovas, Adolfo Bautista

doi:10.1016/j.jpedsurg.2012.08.033

Cited by 11 publications

(17 citation statements)

References 8 publications

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“…Unlike polyorchidism, monitoring tumor markers is not indicated in bilobed testicles as the risk of malignancy is not as high in comparison and there are no indications in the literature supporting this. [37]…”

Section: Discussionmentioning

confidence: 99%

A bilobed testicle diagnosed with ultrasound in an 18-year-old boy

et al. 2016

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Bilobed testicle is a very rare congenital malformation with an unknown etiology. Herein, we report an 18-year-old boy presented with a right-bilobed testicle mimicking a testicular tumor. The present case highlights the importance of considering bilobed testicle as a valuable differential diagnosis of testicular mass to prevent unnecessary surgery. Furthermore, the case could provide more information about presentation and management of bilobed testicle.

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Section: Discussionmentioning

confidence: 99%

A bilobed testicle diagnosed with ultrasound in an 18-year-old boy

et al. 2016

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“…Of the five previously reported cases of a bilobed testicle, four are in children aged from 3 to 13 [1–4] with the other occurring in a 30-year-old man who had been symptomatic for 10 years [5]. A bilobed testicle is thought to represent an incomplete division of the genital ridge by peritoneal bands during the development of the testis from 6 weeks of embryological life.…”

Section: Discussionmentioning

confidence: 99%

Management of a bilobed testicle in a 12-year-old boy

Halliday

2013

Journal of Surgical Case Reports

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A bilobed testicle is an extremely rare congenital malformation, with only five cases published to date. We present the case of a 12-year-old boy with a bilobed testicle. With so few cases available, much of what is known about the management of this condition is based on cases of polyorchidism and the complications associated with this, including malignancy and torsion. Whilst surgery may play a role in some patients, uncomplicated cases can be managed conservatively. There is no long-term data on the outcome of conservative management but we propose this patient can be discharged if no further changes are identified after 18 months.

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“…Most commonly patients present with pain and swelling at a median age of 17 years [ 3 ]. The majority of patients with SNT have triorchidism with two testes in the scrotal sac [ 5 ]. However the differential diagnoses to SNT, which may be present simultaneously, or alternatively complicate the situation, include epididymal cyst and spermatocele [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, testicular torsion is present in approximately 15% of cases and also always requires repair [ 2 ]. Only 16% of patients with SNT present without any symptoms [ 3 , 5 ]. It is important to rule out neoplasm, as it has been shown to be associated in as many as 6% of cases [ 6 – 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…One theory for the development of SNT is that there is incomplete degeneration of a portion of the mesonephros and subsequent development of peritoneal bands [ 3 ]. These bands in turn cause transverse division of the genital ridge [ 5 ]. For an unknown reason, in polyorchidism the left genital ridge is more frequently affected than the right one [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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A Unique Case of Intraabdominal Polyorchidism: A Case Study

Otero

Ben-Yakar

Alemayehu

et al. 2016

Case Reports in Urology

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Background. Polyorchidism, alternatively supernumerary testes (SNT), is a condition where an individual is born with more than two testicles. This congenital anomaly is quite rare and the literature has described various presentations. Questions/Purposes. To our knowledge, this presentation of polyorchidism has yet to be described in the literature. The goal of this case study is to add to the pediatric, general, and urologic surgery's body of knowledge of the subject matter. Case Study. A nine-month-old boy was admitted for an impalpable right testis and phimosis. At the time of surgical exploration, there appeared to be polyorchid testis on the right-hand side, with three masses that potentially appeared to be undescended testes. Discussion. Proponents of a conservative approach argue that infertility is common in patients with polyorchidism and, by preserving a potentially functional SNT, there may be improved spermatogenesis. When performing definitive surgical treatment, meticulous intra-abdominal and intrainguinal exploration must be undertaken. Orchiopexy should be performed to reduce the chances of torsion, malignancy, and infertility. Conclusion. Our case is important to the literature as it is the first known case of polyorchidism with 3 SNT on the right side, located intra-abdominally, and in a patient less than 1 year of age.

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Incomplete unilateral polyorchidism (bilobed testicle) mimicking testicular tumour

Cited by 11 publications

References 8 publications

A bilobed testicle diagnosed with ultrasound in an 18-year-old boy

A bilobed testicle diagnosed with ultrasound in an 18-year-old boy

Management of a bilobed testicle in a 12-year-old boy

A Unique Case of Intraabdominal Polyorchidism: A Case Study

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