A case of triorchidism.

Area of Science:

• Urology
• Radiology
• Pediatric Surgery

Background:

• Polyorchidism is a rare congenital anomaly characterized by the presence of more than two testicles.
• It is often asymptomatic, but can be associated with other genitourinary abnormalities and complications such as infertility, torsion, and malignancy.
• Early diagnosis and appropriate management are essential to prevent complications.

Observation:

• A case of an adolescent male presenting with a painless left scrotal lump is described.
• Diagnostic investigations confirmed the presence of a supernumerary testicle, a condition known as polyorchidism.
• The clinical presentation and initial diagnostic findings are detailed.

Findings:

• This report details the imaging findings of polyorchidism across various modalities, including ultrasound, MRI, and CT.
• Imaging plays a pivotal role in the accurate diagnosis and classification of polyorchidism.
• Specific imaging characteristics that aid in differentiating polyorchidism from other scrotal pathologies are discussed.

Implications:

• Understanding the imaging spectrum of polyorchidism is vital for radiologists and urologists.
• Imaging guidance is crucial for the surveillance and long-term management of patients with polyorchidism.
• This case report highlights the importance of a comprehensive imaging approach in evaluating scrotal abnormalities in adolescents.