A Unique Case of Intraabdominal Polyorchidism: A Case Study
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 polyo...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2016/2729614 |
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| author | Javier Otero Natalie Ben-Yakar Biruk Alemayehu Steven D. Kozusko Frank Borao Thomas S. Vates III |
| author_facet | Javier Otero Natalie Ben-Yakar Biruk Alemayehu Steven D. Kozusko Frank Borao Thomas S. Vates III |
| author_sort | Javier Otero |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-9e3f3830a79c40328ab84199606170f7 |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-9e3f3830a79c40328ab84199606170f72025-02-03T07:23:48ZengWileyCase Reports in Urology2090-696X2090-69782016-01-01201610.1155/2016/27296142729614A Unique Case of Intraabdominal Polyorchidism: A Case StudyJavier Otero0Natalie Ben-Yakar1Biruk Alemayehu2Steven D. Kozusko3Frank Borao4Thomas S. Vates III5Department of Surgery, Monmouth Medical Center, Barnabas Health, Long Branch, NJ 07740, USADrexel University College of Medicine, Philadelphia, PA 19129, USASt. George’s University School of Medicine, St. George’s, GrenadaDepartment of Surgery, Monmouth Medical Center, Barnabas Health, Long Branch, NJ 07740, USADepartment of Surgery, Monmouth Medical Center, Barnabas Health, Long Branch, NJ 07740, USADepartment of Urology, Monmouth Medical Center, Barnabas Health, Long Branch, NJ 07740, USABackground. 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.http://dx.doi.org/10.1155/2016/2729614 |
| spellingShingle | Javier Otero Natalie Ben-Yakar Biruk Alemayehu Steven D. Kozusko Frank Borao Thomas S. Vates III A Unique Case of Intraabdominal Polyorchidism: A Case Study Case Reports in Urology |
| title | A Unique Case of Intraabdominal Polyorchidism: A Case Study |
| title_full | A Unique Case of Intraabdominal Polyorchidism: A Case Study |
| title_fullStr | A Unique Case of Intraabdominal Polyorchidism: A Case Study |
| title_full_unstemmed | A Unique Case of Intraabdominal Polyorchidism: A Case Study |
| title_short | A Unique Case of Intraabdominal Polyorchidism: A Case Study |
| title_sort | unique case of intraabdominal polyorchidism a case study |
| url | http://dx.doi.org/10.1155/2016/2729614 |
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