Triorchidism; an incidental finding at inguinal hernia repair: A case report

Bayissa, Badhaasaa Beyene; Tesfaye, Dhugasa

doi:10.1016/j.ijscr.2020.11.118

Cited by 4 publications

(6 citation statements)

References 10 publications

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“…Regarding the extra scrotal sites of detection, these may be inguinal (23%) and abdominal (9%) [3]. The side which is affected the most is the left hemiscrotum (66%) [4,5], which is also the case with our patient. Since triorchidism can be rather unlikely to occur, amplitude of other syndromes come to mind and rank the highest places in the differential diagnosis, leading to a misdiagnosis of the former.…”

Section: Introductionsupporting

confidence: 70%

Triorchidism in a Pediatric Patient: A Case Report and a Literature Review

2023

Ann Case Report

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Testicular duplication, supernumerary testis or most commonly known as polyorchidism constitutes an especially rare congenital anomaly of the genitourinary tract. We report a 10-year-old male patient presented to our clinic with a visible as well as palpable left scrotal mass. With the view to determining whether the surgical excision of the additional testis or its monitoring by imaging is more preferable, we took many factors into consideration, including patient's comorbidities, testicular biopsy's outcome as well as the classification of the extra testes. The diagnosis of the additional testis was confirmed by histopathology and underline the need to maintain a high index of suspicion.

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Section: Introductionsupporting

confidence: 70%

Triorchidism in a Pediatric Patient: A Case Report and a Literature Review

2023

Ann Case Report

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“…Femoral hernias account for 3% of groin hernias, are more common in females, and are at higher risk for incarceration secondary to a narrow femoral neck [ 1 ]. In 1731, Rene Jacques Croissant De Garengeot, a French surgeon, described a rare (0.08-0.13%) condition in which an appendix travels through the femoral canal and presents as an incarcerated femoral hernia [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Combined Use of Laparoscopy and an Open Inguinal Approach for Repair of a De Garengeot Hernia

Mushtaq,

Galantini,

Ottaway

et al. 2024

Cureus

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Femoral hernias carry an increased risk of incarceration. De Garengeot hernia, a rare subset, occurs when the appendix herniates through the femoral canal. Due to its rarity, various surgical approaches have been explored, including isolated groin incisions, combined approaches, and exclusive laparoscopic interventions. This case involved a 58-year-old female diagnosed with a De Garengeot hernia and nonperforated acute appendicitis, managed through a combined laparoscopic and an inguinal approach, and underwent laparoscopic appendectomy and open repair of femoral hernia using a biologic mesh. In this case, the combined approaches facilitated a successful hernia repair and appendectomy while enabling a swift recovery. This case highlights the effectiveness of the combined minimally invasive and inguinal approach in optimizing outcomes for patients with De Garengeot hernia.

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“…

This condition is associated with undescended testis (40%), hernia (30%), torsion (15%), hydrocele (9%), and malignancy (6%). 1,6 This last condition may include teratoma, anaplastic seminoma, choriocarcinoma, and rhabdomyosarcoma. 5 Given how rare it is, polyorchidism requires a high degree of suspicion.There are two important classifications of polyorchidism, the embryological one of Leung and the vascular of Berglozs et al 6,7,11 The treatment of polyorchidism is controversial and usually depends on the location of the testis, age, size of the testicle, and reproductive potential.

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confidence: 99%

“…This condition is associated with undescended testis (40%), hernia (30%), torsion (15%), hydrocele (9%), and malignancy (6%). 1,6 This last condition may include teratoma, anaplastic seminoma, choriocarcinoma, and rhabdomyosarcoma. 5 Given how rare it is, polyorchidism requires a high degree of suspicion.…”

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confidence: 99%

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A rare case of polyorchidism in a 48-year-old man with inguinal hernia

Valente¹,

Ferreira²,

Ferreira³

et al. 2022

Int Surg J

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Polyorchidism is a rare congenital anomaly characterized by the presence of more than two testes. Triorchidism is the most common variant. Polyorchidism has been reported in around two hundred cases in the world to date. It is usually diagnosed incidentally in routine exams or surgery. It can be associated with undescended testis (40%), hernia (30%), and torsion (15%), among others. Given how rare it is, polyorchidism requires a high degree of suspicion. The exact aetiology of polyorchidism is unknown. The preservation of supernumerary testis has been controversial. Today, in the absence of pain, conservative management with a strict ultrasound and magnetic resonance imaging (MRI) follow-up is the most widely used approach. We present a case of a 48-year-old man who had a personal history of left cryptorchidism and came to our appointment with a bilateral inguinal hernia. During surgery for hernia repair, we found a supernumerary testis located on the left inguinal region with no epididymis or vas deferens. We opted for orchidopexy. In the other left testis, we did an orchidectomy due to the presence of a suspicious nodule. The histology was negative for neoplasia.

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Triorchidism; an incidental finding at inguinal hernia repair: A case report

Cited by 4 publications

References 10 publications

Triorchidism in a Pediatric Patient: A Case Report and a Literature Review

Triorchidism in a Pediatric Patient: A Case Report and a Literature Review

Combined Use of Laparoscopy and an Open Inguinal Approach for Repair of a De Garengeot Hernia

A rare case of polyorchidism in a 48-year-old man with inguinal hernia

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