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Polyorchidism presenting with undescended testis.

L Abbasoğlu1, F T Salman, F Gün

  • 1Department of Pediatric Surgery, I.U. Istanbul School of Medicine, Istanbul, Turkey. abbasoglusl@hotmail.com

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|November 16, 2004
PubMed
Summary

Polyorchidism, having more than two testes, often presents as an undescended testis, typically on the left side. This case highlights a rare instance where the accessory testis was smaller and more distal, necessitating removal due to malignancy risk.

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Area of Science:

  • Urology
  • Reproductive Medicine
  • Pediatric Surgery

Background:

  • Polyorchidism is a rare congenital anomaly characterized by the presence of more than two testes.
  • It is frequently associated with other genitourinary abnormalities, such as cryptorchidism (undescended testis).
  • Most reported cases of polyorchidism occur on the left side.

Observation:

  • This report details a unique case of polyorchidism presenting as an undescended testis.
  • The patient exhibited a left-sided anomaly with two testes.
  • Unusually, the accessory testis was smaller and located distally to the larger, inferior testis.

Findings:

  • The accessory testis lacked attachment to a cord structure, indicating no reproductive potential.
  • This anatomical finding is novel, as typically the inferior testis is larger in polyorchidism cases.

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  • The accessory testis was surgically removed due to the elevated risk of malignancy associated with undescended and supernumerary testes.

    • Implications:

    • This case expands the understanding of polyorchidism anatomical variations.
    • It underscores the importance of vigilant assessment and management of supernumerary testes due to malignancy risk.
    • Early surgical intervention may be crucial for managing undescended and anomalous testes in polyorchidism.