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Incidental detection of three testes while evaluating an empty left scrotal sac: a case report
Munna William1, Amrit Bhusal2, Waqar Ahmad3
1Department of Diagnostic Radiology and Imaging, Nishtar Medical University.
Annals of Medicine and Surgery (2012)
|October 3, 2024
Summary
Poly-orchidism, the presence of more than two testicles, is a rare congenital anomaly. This case highlights tri-orchidism in a 16-year-old male, emphasizing diagnostic imaging and management considerations.
Area of Science:
- Genitourinary surgery
- Pediatric urology
- Congenital anomalies
Background:
- Poly-orchidism is a rare congenital anomaly characterized by supernumerary testes.
- Tri-orchidism, the presence of three testes, is the most common form.
- Diagnosis often involves imaging due to potential asymptomatic presentation.
Observation:
- A 16-year-old male presented with an empty left scrotal sac.
- He was diagnosed with tri-orchidism, with testes located in bilateral hemipelvis.
- Ultrasound with Doppler and MRI confirmed the diagnosis; no changes were noted over 6 months of follow-up.
Findings:
- Most poly-orchidism cases are asymptomatic or present with masses, undescended testes, or torsion.
- Imaging (US, Doppler, MRI) is crucial for diagnosis.
- Non-scrotal testes increase malignancy risk.
Implications:
- Complications include undescended testes, hernias, infertility, and malignancy.
- Management involves surgical intervention for malignancy or non-scrotal ectopic testes, or conservative follow-up.
- Careful consideration of testis location is vital for treatment decisions.
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