Polyorchidism: A Rare Entity as an Incidental Finding

Abstract Polyorchidism is a rare condition. Its diagnosis is mostly incidental and its management is still a matter of debate. Herein we report a case of triorchidism and its management. A 6-year-old boy presented with asymptomatic left scrotal swelling. Scrotal ultrasound confirmed hydrocele and described a supernumerary testis on the left side, along with bilateral testicular microlithiasis. Intraoperative examination of the scrotal content confirmed triorchidism: two testicular masses sharing the same epididymis and vas deferens. Preservation of both units was decided and considering the free movement between them and the inherent risk of torsion, a fixation suture was accomplished. The postoperative recovery was uneventful. According to the scarce reports on literature, since testicular drainage into a shared vas deferens was confirmed, no resection was pursued. Considering the increased risk of malignancy, an annual ultrasound follow-up was recommended.

Bibliographic Details

Main Authors:	Silva,Miguel Correia da, Fernandes,Sara, Vilares,Ana Teresa, Dias,Sílvia Costa, Campos,Miguel, Madureira,António J.
Format:	Digital revista
Language:	English
Published:	Sociedade Portuguesa de Radiologia e Medicina Nuclear 2023
Online Access:	http://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512023000100032
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