Supernumerary testis: Imaging appearance of a rare entity

Jakhere, Sandeep; Saifi, Shenaz; Ranwaka, Abhinav

doi:10.4103/0970-1591.126918

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…Polyorchidism or supernumerary testicles are defined by the presence of more than two testicles and is an extremely rare congenital anomaly. 1,2 Only about 200 cases have been reported in the literature so far. 3…”

Section: Introductionmentioning

confidence: 99%

Polyorchidism

Arshad¹,

Manzoor²,

Arshad

et al. 2018

TPMJ

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Polyorchidism is a very rare anomaly that is defined by the presence ofmore than two testes. Knowledge about the condition and accurate imaging diagnosis andcharacterization is important to decide the optimal line of management and avoid unnecessarysurgery. A 14-year-old male reported for Scrotal Color Doppler Ultrasound with complaint ofa painless mass in the left scrotum with no history of trauma. On physical examination, therewere two palpable, ovoid, mobile, non-tender masses in the left hemiscrotum. Scrotal ColorDoppler Ultrasonography (USG) revealed a well circumscribed supernumerary testicle in theleft scrotum adjacent to superior pole of left testis with parenchymal echogenicity and dopplervascularity like that of normal testis parenchyma. In conclusion, diagnosis was polyorchidismwith duplication of the left testicle. The patient was advised follow-up after one-year. USG is themodality of choice to assist in the diagnosis.

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Section: Introductionmentioning

confidence: 99%

Polyorchidism

Arshad¹,

Manzoor²,

Arshad

et al. 2018

TPMJ

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“…Although its etiology is not completely known, it is asserted that it may be connected to the abnormal partition of the genital ridge during testicle embryogenesis. [ 2 ] The presence of triple testicles, triorchidism, is the most common polyorchidism type mostly located in the scrotum. Most of the patients apply with unpainful inguinal or scrotal masses, but they are generally asymptomatic.…”

Section: Introductionmentioning

confidence: 99%

Polyorchidism; unilateral, one atrophic undescended double testicles

et al. 2017

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Polyorchidism is a very rare genitourinary anomaly defined with the presence of more than two testicles. Polyorchidism is associated up to 40% with undescended testicles. The present report is about an incidentally detected triorchidism case with unilateral, one atrophic undescended double testicles. A 4-year-old child, diagnosed with undescended left testicle revealed during orchiopexy polyorchidism with distinct epididymis and vas deferens. Whereas one of the testicles was in regular size; the other two were atrophic. Orchiectomy was conducted on the atrophic testicle and orchiopexy to the regular size testicle. The atrophic testicle excised was referred histopathological analysis and was diagnosed as atrophic testis. The patient discharged on the first postoperative day, was considered as normal during postoperative evaluation made on the third postoperative day. Polyorchidism is a rare genitourinary abnormality, and its management is still controversial. Yet, we believe that orchiectomy is to be conducted in atrophic testicle cases.

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Polyorchidism: An Up-to-Date Systematic Review

Balawender

Wawrzyniak

Kobos

et al. 2023

JCM

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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.

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Supernumerary testis: Imaging appearance of a rare entity

Abstract: Supernumerary testis is a rare congenital anomaly of the testis arising from abnormal division in the genital ridge during the embryogenesis of testis. We describe a case of polyorchidism detected incidentally in a 52-year-old with renal failure.

Cited by 3 publications

References 3 publications

Polyorchidism

Polyorchidism

Polyorchidism; unilateral, one atrophic undescended double testicles

Polyorchidism: An Up-to-Date Systematic Review

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