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03:38
Microsurgical Obstruction of Testes Fusion in Spodoptera litura
Published on: July 16, 2021
Polyorchidism: a torted right-sided supernumerary testis
Mandela Thyoka1, Anupam Lall, Alok Godse
1Department of Paediatric Surgery, UCL Institute of Child Health, London, UK. m.thyoka@ucl.ac.uk
BMJ Case Reports
|February 19, 2013
Summary
Polyorchidism, a rare congenital condition, involves having more than two testes. This case highlights a unique instance of right-sided triorchidism discovered during surgery for an inguinal hernia in a teenage boy.
Area of Science:
- Urology
- Pediatric Surgery
- Congenital Anomalies
Background:
- Polyorchidism is a rare congenital anomaly characterized by the presence of more than two testes.
- Triorchidism, the most common variant, typically involves a supernumerary testis on the left side.
- Often diagnosed incidentally during procedures for associated conditions like undescended testes or hernias.
Observation:
- A 15-year-old boy presented with an irreducible right inguinal hernia.
- Surgical exploration revealed a right-sided triorchidism, a rare presentation.
- The supernumerary testis was located on the right side, deviating from the common left-sided occurrence.
Findings:
- Histological confirmation of three testes in the affected individual.
- The supernumerary testis was identified during the surgical management of a right inguinal hernia.
- This case represents a rare instance of right-sided triorchidism.
Implications:
- Highlights the importance of thorough intraoperative examination during hernia repair in pediatric patients.
- Contributes to the understanding of rare congenital anomalies and their varied presentations.
- Underscores the potential for incidental diagnosis of polyorchidism in surgical settings.
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