Abstract
Polyorchidism is defined as the presence of more than two testes. Triorchidism is the most frequent presentation. This anomaly is extremely rare, and approximately a hundred cases were described in the literature. We report a case of triorchidism presenting with inguinal hernia and penoscrotal hypospadias in a three-year-old male and briefly discuss current management of polyorchidism. Management remains controversial especially if there is no associated abnormality identified. The absence of any concomitant disorder and if testicular tumour can be ruled out by sonography or magnetic resonance imaging, surgical exploration with biopsy could be unnecessary. On the contrary, surgical exploration has the advantage of allowing for fixation of the testes to prevent torsion and determination of testicular outflow tracts and estimating reproductive capacity.
Highlights
Polyorchidism is defined as the presence of more than two testes, and it is a rare congenital abnormality
We describe a case of triorchidism presenting with inguinal hernia and penoscrotal hypospadias in a three-year-old male and briefly discuss its management
After performing high ligation and fixation of the normal testis into the scrotum, supernumerary testis was removed for a possible malignancy
Summary
Polyorchidism is defined as the presence of more than two testes, and it is a rare congenital abnormality. The first accepted case was a post mortem report by Ashfeld in 1880 [1] and since approximately over a hundred cases have been reported in the literature. A majority of cases are triorchidism with occasional bilateral duplication [2]. We describe a case of triorchidism presenting with inguinal hernia and penoscrotal hypospadias in a three-year-old male and briefly discuss its management
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