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Polyorchidism: two case reports and a review of the literature.

Artul S, Habib G - J Med Case Rep (2014)

Bottom Line: Patient 2 was an 11-year-old Arabic boy with an inguinal mass resulted to be an additional testicle in the inguinal canal.Notably, inguinal or scrotal masses should not always be considered as lymph nodes or tumors.Indeed, a radiologist should always keep polyorchidism in mind when such masses are encountered.

View Article: PubMed Central - PubMed

Affiliation: Radiology Department, EMMS Hospital Nazareth, Bar Ilan University, Faculty of Medicine, P, O, Box 11, 16100 Nazareth, Israel. suheil_artul@hotmail.com.

ABSTRACT

Introduction: Polyorchidism is a very rare anomaly that is defined by the presence of more than two testes. Although its presentation is primarily as triorchidism, cases of four testes have also been reported in the literature.

Case presentation: In this report, we describe color Doppler ultrasound findings in two cases. Patient 1 was a 37-year-old Arabic man with a scrotal mass and a double testicle in the right hemiscrotum visualized by ultrasound. Patient 2 was an 11-year-old Arabic boy with an inguinal mass resulted to be an additional testicle in the inguinal canal. The echogenic texture and vascular flow of supernumerary testicles in question were similar to those of the normal testicles; however, their size was smaller. After 3 years of follow-up, the tertiary testes in the two patients remained stable in both size and echogenicity.

Conclusion: Ultrasound plays a crucial role in the evaluation of masses. Notably, inguinal or scrotal masses should not always be considered as lymph nodes or tumors. Indeed, a radiologist should always keep polyorchidism in mind when such masses are encountered.

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Related in: MedlinePlus

Ultrasound of patient 1. Longitudinal section of a color Doppler ultrasound shows normal testis (white arrow) in the right hemiscrotum and a 1.5cm oval mass in the right hemiscrotum (black arrow), adjacent to the upper pole of the right testis and slightly compressing the epididymis (blue arrow). This mass has the same echogenicity and normal flow as the testis nearby.
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Fig1: Ultrasound of patient 1. Longitudinal section of a color Doppler ultrasound shows normal testis (white arrow) in the right hemiscrotum and a 1.5cm oval mass in the right hemiscrotum (black arrow), adjacent to the upper pole of the right testis and slightly compressing the epididymis (blue arrow). This mass has the same echogenicity and normal flow as the testis nearby.

Mentions: A 37-year-old Arabic man was referred by his family physician to our ultrasound unit for evaluation of a palpable, painless mass in the right scrotum that he had had for at least 3 years at least. Color Doppler ultrasound (FigureĀ 1) showed a normal testicle on each side and a 1.5cm oval mass in the right hemiscrotum adjacent to the upper pole of the right testicle, slightly compressing the epididymis. Additionally, the mass had the same echogenicity and normal flow signs as the nearby testicles.Figure 1


Polyorchidism: two case reports and a review of the literature.

Artul S, Habib G - J Med Case Rep (2014)

Ultrasound of patient 1. Longitudinal section of a color Doppler ultrasound shows normal testis (white arrow) in the right hemiscrotum and a 1.5cm oval mass in the right hemiscrotum (black arrow), adjacent to the upper pole of the right testis and slightly compressing the epididymis (blue arrow). This mass has the same echogenicity and normal flow as the testis nearby.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4307231&req=5

Fig1: Ultrasound of patient 1. Longitudinal section of a color Doppler ultrasound shows normal testis (white arrow) in the right hemiscrotum and a 1.5cm oval mass in the right hemiscrotum (black arrow), adjacent to the upper pole of the right testis and slightly compressing the epididymis (blue arrow). This mass has the same echogenicity and normal flow as the testis nearby.
Mentions: A 37-year-old Arabic man was referred by his family physician to our ultrasound unit for evaluation of a palpable, painless mass in the right scrotum that he had had for at least 3 years at least. Color Doppler ultrasound (FigureĀ 1) showed a normal testicle on each side and a 1.5cm oval mass in the right hemiscrotum adjacent to the upper pole of the right testicle, slightly compressing the epididymis. Additionally, the mass had the same echogenicity and normal flow signs as the nearby testicles.Figure 1

Bottom Line: Patient 2 was an 11-year-old Arabic boy with an inguinal mass resulted to be an additional testicle in the inguinal canal.Notably, inguinal or scrotal masses should not always be considered as lymph nodes or tumors.Indeed, a radiologist should always keep polyorchidism in mind when such masses are encountered.

View Article: PubMed Central - PubMed

Affiliation: Radiology Department, EMMS Hospital Nazareth, Bar Ilan University, Faculty of Medicine, P, O, Box 11, 16100 Nazareth, Israel. suheil_artul@hotmail.com.

ABSTRACT

Introduction: Polyorchidism is a very rare anomaly that is defined by the presence of more than two testes. Although its presentation is primarily as triorchidism, cases of four testes have also been reported in the literature.

Case presentation: In this report, we describe color Doppler ultrasound findings in two cases. Patient 1 was a 37-year-old Arabic man with a scrotal mass and a double testicle in the right hemiscrotum visualized by ultrasound. Patient 2 was an 11-year-old Arabic boy with an inguinal mass resulted to be an additional testicle in the inguinal canal. The echogenic texture and vascular flow of supernumerary testicles in question were similar to those of the normal testicles; however, their size was smaller. After 3 years of follow-up, the tertiary testes in the two patients remained stable in both size and echogenicity.

Conclusion: Ultrasound plays a crucial role in the evaluation of masses. Notably, inguinal or scrotal masses should not always be considered as lymph nodes or tumors. Indeed, a radiologist should always keep polyorchidism in mind when such masses are encountered.

Show MeSH
Related in: MedlinePlus