Diphallus associated with a third ectopic urethra.

Area of Science:

• Medical case report
• Congenital anomalies
• Urology and skeletal malformations

Background:

• Diphallus, a rare congenital malformation, involves the presence of two complete or incomplete penises.
• Such cases are often associated with other significant genitourinary and skeletal abnormalities.
• This report focuses on a unique presentation in a Saudi Arabian infant.

Purpose of the Study:

• To report a rare case of diphallus with associated complex congenital anomalies.
• To document the specific malformations observed in this unique case.
• To contribute to the literature on rare congenital conditions.

Main Methods:

• Clinical observation and physical examination of the newborn.
• Diagnostic imaging (e.g., ultrasound, X-ray) to assess internal structures.
• Detailed documentation of all observed anomalies.

Main Results:

• The Saudi male infant presented with diphallus, characterized by two independent phalli and multiple urethras.
• Associated anomalies included an absent right 1st rib, 3rd thoracic hemivertebra, absent left kidney, and spinal lipoma.
• The complex interplay of these malformations presented significant diagnostic and management challenges.

Conclusions:

• This case underscores the extreme rarity and variability of diphallus.
• The co-occurrence of genitourinary and skeletal anomalies necessitates thorough diagnostic workups in affected individuals.
• Further research into the embryological basis of such complex malformations is warranted.