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Triorchidism: two case reports.

A Hassan1, S Elhanbly, M S El-Mogy

  • 1Department of Dermatology and Andrology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Andrologia
|November 15, 2013
PubMed
Summary
This summary is machine-generated.

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This study reports two cases of triorchidism, a rare congenital anomaly. Early diagnosis of this condition is crucial for managing scrotal masses and potential fertility issues.

Area of Science:

  • Urology
  • Reproductive Medicine
  • Medical Imaging

Background:

  • Triorchidism, the presence of three testes, is an extremely rare congenital anomaly.
  • Understanding its clinical presentation and associated conditions is essential for accurate diagnosis and management.

Observation:

  • Two cases of triorchidism are presented in men aged 29 and 32 years.
  • Both patients presented with palpable scrotal lumps, with detailed clinical examinations and comprehensive diagnostic workups performed.

Findings:

  • Case 1: Triorchidism with a left varicocele and oligoasthenoteratozoospermic semen profile, successfully managed with intracytoplasmic sperm injection resulting in a twin pregnancy.
  • Case 2: Triorchidism with an accessory testis on the left, associated with a left varicocele and asthenozoospermic semen profile, managed medically.
Keywords:
Infertilitypolyorchidismtestistriorchidismultrasonography

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Implications:

  • Triorchidism should be considered in the differential diagnosis of scrotal masses.
  • This anomaly can be associated with infertility, necessitating thorough semen analysis and appropriate reproductive assistance.
  • Multimodality imaging plays a vital role in the diagnosis and characterization of triorchidism and associated pathologies.