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[A man with a swollen scrotum].
Geerte W de Graaf1, Adriaan van den Haak
1Catharina Ziekenhuis, Afd. Urologie, Eindhoven, the Netherlands.
Nederlands Tijdschrift Voor Geneeskunde
|September 10, 2011
Summary
Polyorchidism, a rare congenital condition involving supernumerary testes, was diagnosed in a 32-year-old male. Imaging revealed a duplicated left testis with fused epididymis, presenting as a painless scrotal mass.
Area of Science:
- Urology
- Reproductive Medicine
- Congenital Abnormalities
Background:
- Polyorchidism is a rare congenital anomaly characterized by the presence of more than two testes.
- It is often associated with other genitourinary abnormalities and can present with various clinical manifestations.
Observation:
- A 32-year-old male presented with a long-standing, painless left-sided scrotal mass.
- Physical examination revealed two ovoid masses in the left hemiscrotum and a single testis on the right side.
Findings:
- Ultrasound imaging demonstrated a supernumerary testis on the left side with fusion of the epididymis.
- The final diagnosis was polyorchidism, specifically a duplication of the left testis.
Implications:
- This case highlights the importance of thorough diagnostic evaluation for scrotal masses, even when present since infancy.
- Understanding the imaging characteristics of polyorchidism is crucial for accurate diagnosis and management planning.
- Further research into the long-term outcomes and optimal management strategies for polyorchidism is warranted.
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