Polyorchidism Presenting with Testicular Pain and Scrotal Mass
- *Corresponding Author:
- Mustafa Zafer Temiz
Department of Urology
Bitlis State Hospital
Besminare Mh. 13000
Besminare, Bitlis, Istanbul
Tel: +90 434 246 84 20
Fax: +90 434 246 84 24
E-mail: [email protected]
Received Date: January 21, 2015; Accepted Date: February 23, 2015; Published Date: February 28, 2015
Citation: Aykan S, Temiz MZ, Tuken M, Yuruk E (2015) Polyorchidism Presenting with Testicular Pain and Scrotal Mass. J Clinic Res Bioeth 6:214. doi: 10.4172/2155-9627.1000214
Copyright: © 2015 Aykan S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Polyorchidism is an extremely rare congenital anomaly of the urogenital system and is defined as the presence of more than two testes. The majority of patients are asymptomatic or present with painless inguinal or scrotal masses. We, hereby, report a 25-year-old triorchidism case who presented with testicular pain and a scrotal mass. Case report: A 25-year-old male patient was admitted to the outpatient clinic with the complaint of testicular pain and a scrotal mass. His medical history was unremarkable and there was no history of trauma. On physical examination, there were two palpable, ovoid, mobile, non-tender masses in the left hemiscrotum. Scrotal Color Doppler Ultrasonography revealed a 1.5 × 2.0 × 1.2 cm, well-circumscribed accessory tissue in the left hemiscrotum which had same echogenicity as the normal testes. Magnetic Resonance Imaging (MRI) also confirmed the tissue as the third testis. The patient was managed conservatively and put into a follow-up program.
Conclusion: Polyorchidism is a rare congenital anomaly. Patients with polyorchidism can be managed conservatively unless there is no accompanying problems such as inguinal hernia, cryptorchidism or torsion. However, supernumerary testes should be removed if there is a suspicion for malignancy.