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Polyorchidism and inguinoscrotal hernia. Case presentation

Fernando K Fonseca-Sosa1

  • 1Hospital Nacional ¨Simao Mendes¨ Bissau. Guinea-Bissau.

Archivos Espanoles De Urologia
|July 6, 2019
PubMed
Abstract

Insights

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.
Keywords:
Hernia inguinoescrotalInguinoescrotal herniaPoliorquidismoPolyorchidism

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