title: A Unique Case of Intraabdominal Polyorchidism: A Case Study.
abstract: 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.
authors.affiliation: Department of Surgery, Monmouth Medical Center, Barnabas Health, Long Branch, NJ 07740, USA.
authors.forename: Javier
authors.identifier: 0000-0003-2436-5138
authors.initials: J
authors.lastname: Otero
authors.affiliation: Drexel University College of Medicine, Philadelphia, PA 19129, USA.
authors.forename: Natalie
authors.identifier: 0000-0003-3585-6354
authors.initials: N
authors.lastname: Ben-Yakar
authors.affiliation: St. George's University School of Medicine, St. George's, Grenada.
authors.forename: Biruk
authors.initials: B
authors.lastname: Alemayehu
authors.affiliation: Department of Surgery, Monmouth Medical Center, Barnabas Health, Long Branch, NJ 07740, USA.
authors.forename: Steven D
authors.initials: SD
authors.lastname: Kozusko
authors.affiliation: Department of Surgery, Monmouth Medical Center, Barnabas Health, Long Branch, NJ 07740, USA.
authors.forename: Frank
authors.initials: F
authors.lastname: Borao
authors.affiliation: Department of Urology, Monmouth Medical Center, Barnabas Health, Long Branch, NJ 07740, USA.
authors.forename: Thomas S
authors.initials: TS
authors.lastname: Vates Iii