Pentaorchidism diagnosed on ultrasound examination: A case report and literature review

Abstract

Polyorchidism is a congenital malformation of the urogenital system that is usually found incidentally in adolescent age groups. Ultrasound and MRI are effective noninvasive diagnostic modalities which can differentiate this condition from other intrascrotal pathologies. Ultrasonography is mostly used in initial steps of diagnostic approach; however, MRI is considered as a modality to confirm diagnosis and evaluate possible malignancy. We report an extremely rare case of pentaorchidism (five testicles), presented with a left hemiscrotum mass. Diagnosis was made based on physical examination, laboratory analysis (testicular germ cell tumour markers and semen analysis) and imaging. Finally, close surveillance with ultrasound and physical examination was recommended for follow-up of this uncomplicated patient.

Rare case of testicular abnormality in a 17-year-old adolescent boy

“…Аномалии яичек представлены несколькими группами пороков -нарушения количества, расположения и структуры железистой паренхимы. Наиболее часто встречаются изменения количества яичек: от их полного отсутствия до наличия трех и более семенников [4,5]. При этом осложнением аномалии может быть перекручивание сосудов яичка, формирование паховых грыж, развитие мужского бесплодия, а также злокачественное перерождение [6,7,8].…”