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Polyorchidism and inguinoscrotal hernia. Case presentation.
1Hospital Nacional ¨Simao Mendes¨ Bissau. Guinea-Bissau.
Archivos Espanoles De Urologia
|July 6, 2019
Summary
This case report details a rare instance of poliorchidism, a condition involving multiple testes. A supernumerary testis was successfully managed conservatively after surgical repair of an inguinoscrotal hernia.
Area of Science:
- Urology
- Reproductive Medicine
Background:
- Poliorchidism, the presence of supernumerary testes, is an exceptionally rare congenital anomaly.
- Understanding its presentation and management is crucial due to its low incidence.
Observation:
- A 32-year-old male presented with inguinal pain and a palpable lump in the right inguinoscrotal region.
- Surgical exploration for an inguinoscrotal hernia revealed a right supernumerary testis with an independent epididymis and shared vas deferens.
Findings:
- The supernumerary testis was identified within the intrascrotal region during surgery.
- Post-operative Doppler ultrasound confirmed the diagnosis and revealed no anomalies in the supernumerary testis.
- Conservative management was chosen due to the testis's normal appearance and function.
Implications:
- This case highlights the importance of thorough surgical evaluation in cases of inguinoscrotal abnormalities.
- Conservative management may be a viable option for supernumerary testes without associated anomalies.
- Further research into the long-term outcomes of conservative management for poliorchidism is warranted.
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