A Unique Case of Intraabdominal Polyorchidism: A Case Study.

Autor: Otero J; Department of Surgery, Monmouth Medical Center, Barnabas Health, Long Branch, NJ 07740, USA., Ben-Yakar N; Drexel University College of Medicine, Philadelphia, PA 19129, USA., Alemayehu B; St. George's University School of Medicine, St. George's, Grenada., Kozusko SD; Department of Surgery, Monmouth Medical Center, Barnabas Health, Long Branch, NJ 07740, USA., Borao F; Department of Surgery, Monmouth Medical Center, Barnabas Health, Long Branch, NJ 07740, USA., Vates Iii TS; Department of Urology, Monmouth Medical Center, Barnabas Health, Long Branch, NJ 07740, USA.
Jazyk: angličtina
Zdroj: Case reports in urology [Case Rep Urol] 2016; Vol. 2016, pp. 2729614. Date of Electronic Publication: 2016 Jul 13.
DOI: 10.1155/2016/2729614
Abstrakt: Background . Polyorchidism, alternatively supernumerary testes (SNT), is a condition where an individual is born with more than two testicles. This congenital anomaly is quite rare and the literature has described various presentations. Questions/Purposes . To our knowledge, this presentation of polyorchidism has yet to be described in the literature. The goal of this case study is to add to the pediatric, general, and urologic surgery's body of knowledge of the subject matter. Case Study . A nine-month-old boy was admitted for an impalpable right testis and phimosis. At the time of surgical exploration, there appeared to be polyorchid testis on the right-hand side, with three masses that potentially appeared to be undescended testes. Discussion . Proponents of a conservative approach argue that infertility is common in patients with polyorchidism and, by preserving a potentially functional SNT, there may be improved spermatogenesis. When performing definitive surgical treatment, meticulous intra-abdominal and intrainguinal exploration must be undertaken. Orchiopexy should be performed to reduce the chances of torsion, malignancy, and infertility. Conclusion . Our case is important to the literature as it is the first known case of polyorchidism with 3 SNT on the right side, located intra-abdominally, and in a patient less than 1 year of age.
Competing Interests: The authors, their immediate family, and any research foundation with which they are affiliated did not receive any financial payments or other benefits from any commercial entity related to the subject of this paper. All authors attest to the statements on this page. No financial biases exist for any author.
Databáze: MEDLINE
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