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Bilateral polyorchidism associated with intraabdominal cryptorchidism: a case report
George Veloudis1, Nikolaos Pallas, Andreas Zografidis
1Second Surgical Department, 401 General Army Hospital of Athens, Athens, Greece.
Summary
Polyorchidism, a rare congenital anomaly, involves having more than two testes. This case highlights conservative management for a patient with four testes and an inguinal hernia, emphasizing its inclusion in differential diagnoses for extratesticular masses.
Area of Science:
- Urology
- Congenital Anomalies
- Endocrinology
Background:
- Polyorchidism is a rare congenital anomaly where individuals possess more than two testes.
- It is often associated with other genitourinary abnormalities, including cryptorchidism and hernias.
Observation:
- A 19-year-old male presented with an indirect left inguinal hernia.
- Ultrasound revealed a right-sided testis with an additional mass, later confirmed surgically as a fourth ectopic testis.
- Histological evaluation confirmed polyorchidism without malignancy.
Findings:
- The patient had bilateral, double testes with intraabdominal cryptorchidism.
- Postoperative endocrinological assessment indicated hypergonadotropic hypogonadism.
- The management strategy involved conservative follow-up after surgical removal of the ectopic testis.
Implications:
- Polyorchidism should be considered in the differential diagnosis of solid extratesticular masses.
- Conservative management is recommended for polyorchidism, particularly when asymptomatic or associated with non-malignant findings.
- This case underscores the importance of thorough evaluation and tailored management for rare congenital urogenital anomalies.
