World Journal of
Pharmaceutical and Life Sciences

ONE TOO MANY- POLYORCHIDISM A RARE CASE REPORT AND REVIEW OF LITERATURE

Farman Ali*, Jayaraman Seetharam, Siddharth Nayak, Anirudh Ravishankar, Yathish K, Swamy K.R

ABSTRACT

Polyorchidism is the incidence of more than two testicles in a male. It is a rare congenital anomaly involving the abnormal division of the genital ridge longitudinally or transversely, mainly occurring in the scrotum. Triorchidism(presence of 3 testes) is the most common occurrence of this condition. They mostly occur on the left side. There have been only 140-200 pathological cases that are published in world journal literature, out of which only a few cases have been reported in India. A rare case was reported of a 20 year old man with polyorchidism presenting with an inguinal hernia, describing the clinical features, it's surgical findings and a review of the literature. The most common sites are: Scrotal(66%), inguinal(25%), and abdominal(9%). This condition is mostly asymptomatic but may commonly present with features like maldescent(40%), hernia(30%), torsion(15%), hydrocoele(9%) and malignancy(6%). Spermatogenesis may be normal only in 50% of cases. If symptoms present, they may be scrotal pain, swelling and infertility. High accuracy of pre-operative ultrasound evaluation of scrotal mass differentiates this benign entity from ominous abnormalities and prevents unnecessary surgical exploration of sonographically normal, uncomplicated and orthotopic supernumerary testes. The treatment for this condition is mostly conservative if there are no complications.

[Full Text Article]   [Download Certificate]