A rare case of polyorchidism in a 40-year-old man. A case report.

Autor:	Mazketly M; Faculty of Medicine, University of Aleppo, Aleppo, Syria., Aleter O; Radiology Department, Aleppo University Hospital, Aleppo, Syria., Brimo Alsaman MZ; Faculty of Medicine, University of Aleppo, Aleppo, Syria., Bazkke B; Faculty of Medicine, University of Aleppo, Aleppo, Syria., Jouda ME; Radiology Department, Aleppo University Hospital, Aleppo, Syria., Kayyali A; Radiology Department, Aleppo University Hospital, Aleppo, Syria.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2021 May 12; Vol. 66, pp. 102389. Date of Electronic Publication: 2021 May 12 (Print Publication: 2021).
DOI:	10.1016/j.amsu.2021.102389
Abstrakt:	Introduction: and importance Polyorchidism is defined as the presence of three testes or more. Approximately, there are about 200 cases of polyorchidism in the medical literature. In the past, surgical treatment was done but now with imaging studies, less aggressive approach is recommended.Here we present a case of 40-year-old man who was diagnosed incidentally with polyorchidism in the right hemiscrotum which is quite unusual in this age. Case Presentation: A 40-year-old man presented to the emergency department with a swelling and pain in the left hemiscrotum. In palpation, we noticed a scrotal mass in the right hemiscrotum. His parents had first noticed a scrotal mass when he was two years old and was incorrectly diagnosed as hydrocele by an unauthorized practitioner.In the left hemiscrotum, Doppler confirmed acute epididymitis diagnosis that was treated conservatively with antibiotics and NSAIDs. In the right hemiscrotum, MRI showed that the lump had separate epididymis and shared a common vas deferens with the right testis, which confirmed the diagnosis of supernumerary testis and the patient underwent a follow-up ultrasound after a month and after six months of his presentation. Discussion: Triorchidism is the most common type of polyorchidism. Polyorchidism is diagnosed incidentally hence it is asymptomatic. There are many types of Polyorchidism and tow classification have been described. When the patient is asymptomatic the concentrative treatment is recommended. Conclusion: Polyorchidism is a rare congenital anomaly in the genitourinary tract. It is diagnosed incidentally. Ultrasound or MRI are used to diagnose polyorchidism cases. Competing Interests: Authors declare they have no conflict of interest. (© 2021 The Authors.)
Databáze:	MEDLINE
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