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A rare case of polyorchidism
Ming Ho Liu1, Lokesh Suraparaju
1General Surgery Department, James Paget hospital, Great Yarmouth, Norfolk, UK. jerrylmh@doctors.org.uk
BMJ Case Reports
|September 11, 2012
Summary
This case report details a rare congenital anomaly, polyorchidism, where a patient presented with a supernumerary testis. Diagnosis was confirmed via scrotal exploration and histology, highlighting conservative management for asymptomatic cases.
Area of Science:
- Urology
- Congenital Anomalies
- Surgical Pathology
Background:
- Polyorchidism is an extremely rare congenital anomaly.
- It can be associated with complications like hydrocele, testicular torsion, and rarely malignancy.
- Leung's classification categorizes polyorchidism into four types based on anatomical variations.
Observation:
- A 28-year-old male presented with a tender lump inferior to the left testis.
- Initial ultrasound revealed a homogenous mass posterior to the left testis; CT scan was unremarkable.
- Scrotal exploration identified the mass as a supernumerary testis sharing the tunica albuginea with the left testis.
Findings:
- Histological examination confirmed the supernumerary testis.
- The case was classified as Leung type 2, with shared epididymis and vas deferens.
- No clinical suspicion of malignancy was present.
Implications:
- This case illustrates a type 2 polyorchidism diagnosis.
- Treatment options include conservative management or surgical excision.
- Asymptomatic cases with negative tumor markers and normal imaging may avoid surgery.