Case contributed by Dr Mahmoud Nady Hassan Mostafa


A palpable, painless mass in the anterior scrotal wall that he had had for a long time back.

Patient Data

Age: 35 years
Gender: Male


Ultrasound confirmed that there are two extra-scrotal testes with relatively small size than the primary intrascrotal ones, homogeneous parenchyma. Average vascularity with no abnormality detected.

No hydrocele nor varicocele.

No hernial sacs.

Case Discussion

Polyorchidism is a very rare anomaly, which is defined by the presence of more than two testicles. Triorchidis (three testicles) is the most common form of polyorchidism, in which an extra testicle is usually found on the left side.

The exact etiology of polyorchidism is still unknown. However, it could be related to an embryological developmental abnormality during the formation of the testicles.

Usually, patients present with an asymptomatic mass. However, they are significantly prone to developing a testicular torsion and malignancy.

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Case information

rID: 71601
Published: 22nd Oct 2019
Last edited: 23rd Oct 2019
System: Urogenital
Inclusion in quiz mode: Included
Institution: Al Azhar university

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