Case report of a rare variant of polyorchidism

Polyorchidism: An Up-to-Date Systematic Review

Polyorchidism is a rare male urogenital tract anomaly characterized by at least one supernumerary testis in the scrotum or ectopically. According to data based on our systematic review, 76% of the supernumerary testes (SNTs) were located in the scrotum, and 24% were extra-scrotal (p < 0.001). Among testes located outside the scrotum, 87% were found in the inguinal canal and 13% in the abdominal cavity. In 80% of cases, the diagnosis of SNT was made based on imaging tests, and the remaining 20% of cases were detected incidentally during surgery. The imaging tests performed (US or MRI) resulted in a significantly higher rate of patients who qualified for observation vs. surgical treatment (45% vs. 35%, p < 0.001). The most common conditions associated with SNT were ipsilateral inguinal hernia (15% of cases) and cryptorchidism (15% of cases). Surgery (orchidopexy/orchidectomy) was performed on 54% of patients with SNT, and the decision to observe the SNT was made in a total of 46% of patients (p = 0.001). The therapeutic approach depends on the location of the SNT and the presence of factors that raise suspicion of neoplastic proliferation.

Polyorchidism - An Incidental Finding During Orchidopexy: A Case Report and Review of the Literature

Polyorchidism is an extremely rare congenital anomaly, defined as the presence of one or more extra testicles. About 200 cases have been reported in the medical literature. Triorchidism is the commonest one among all supernumerary testes. We present a rare case of incidentally detected polyorchidism during orchidopexy for ipsilateral undescended testis in a 7-year-old boy. The surgeon should be aware of this condition during groin exploration. The reproductive potential, location of the supernumerary testes, the coexistence of other disorders, and suspicion of the malignancy should be taken into account when choosing conservative management or surgery.

Polyorchidism and testicular malignancy, what can we learn: A case report

INTRODUCTION

Polyorchidism is a rare condition with a total number of approximately 190 cases. Malignancy was found in 6,4% of cases.

CASE PRESENTATION

A 57 years old man came with a sudden and persistent painful mass in right inguinal region. The patient decided to undergo surgery with diagnosis of incarserated lateral hernia inguinal and obtained a testicular-like lump in the right inguinal canal, then the patient underwent orchiectomy. Histopathological examination revealed a soft tissue tumor with microscopic characteristic of seminoma. CT-Scan revealed metastasis to lung and liver.

CONCLUSION

Attention must be given to detect malignancy in polyorchidism.