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