Abstract
Triorchidism is the commonest variety of polyorchidism, an entity with more than two testis is an extremely rare congenital anomaly of the testis. Although excision of the abnormal testis is a safer alternative proposed, recent literature suggests more conservative approach in normal testes with watchful regular follow up to screen for malignancy. This case presented as a left inguinal swelling diagnosed as indirect left inguinal hernia. The left side testis was of smaller size (about half) with normal sperm count, morphology and motility. Intraoperatively indirect inguinal hernia was noted with supernumerary testis at deep ring in addition to normal left testis in left scrotal sac. The ectopic testis were small (2.5×2.5×1 cm) lacking epididymis and with short vas deferens. An evident normal semen analysis and varied anatomy, the decision for orchidectomy of ectopic testis was taken. The histopathological finding was consistent with arrest in germ cell development.
Highlights
Polyorchidism is the incidence of more than two testes.[1]
We hereby report a case of 24-year old male with left side super-numerary non-functional testis, presenting as left sided inguinal hernia
Intraoperative findings of indirect inguinal hernia sac was present with small undescended super-numerary testis of size 2.5×2.5×1 cm at the deep inguinal ring (Figure 1) having short vas deferens and a normally located left testis with epididymis and vas deferens in the scrotal sac
Summary
Polyorchidism is the incidence of more than two testes.[1]. The finding is an extremely rare congenital anomaly, but well documented in literature. The first case was been reported in 1880.2 There are about 190 cases reported with higher prevalence of diagnosis in pediatric age group.[3] With first histological confirmation in 1895 there are about 140 histologically proven cases.[2,4] Polyorchidism can clinically have varied presentations as inguinal swelling, cryptorchidism, testicular torsion, hydrocele and varicocele with majority being asymptomatic. We hereby report a case of 24-year old male with left side super-numerary non-functional testis, presenting as left sided inguinal hernia.
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