Read Polyorchidism with contralateral testis torsion:Case report - Chen S.-P.; Hu Y.-P.; Xu S.-H. | ePub
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Polyorchidism with contralateral testis torsion:Case report
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ISSN 2379-1039 Triorchidism: A case report and review of the
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Request pdf an unusual case of polyorchidism with three homolateral testes and contralateral anorchia polyorchidism is a rare urogenital developmental anomaly defined as the presence of more.
Polyorchidism and adenomatous hyperplasia of the rete testis: a case report with sonographic and magnetic resonance imaging findings and review of literature. Ogul h, pirimoglu b, taskın ga, bayraktutan u, ozgokce m, kantarci m andrologia 2014 may;46(4):449-52.
Men with this condition are born with more than two testes, also known as testicles or gonads.
It is a very rare congenital disorder, with fewer than 200 cases reported in medical literature and six cases (two horses, two dogs and two cats) in veterinary literature. Polyorchidism is generally diagnosed via an ultrasound examination of the testicles.
Intratesticular mass in a young man with a history of contralateral retractile testis.
Jan 18, 2008 keywords: polyorchidismspermatic torsioncryptorchidismtesticular with an undescended atrophic contralateral testis: a surgical solution.
Polyorchidism is a rare anomaly where early segmentation in the gonadal ridge can lead to the development of three or less commonly four testes in one individual. Just over 150 reports of this phenomenon exist in english medical literature. However, once confronted by the clinical finding of supernumerary gonads, one must remain mindful of other likely diagnoses involving nontesticular origin.
Polyorchidism is a very rare embryological anomaly characterized by the presence of extra number of testes with the usual presentation of two homolateral and one contralateral testis and no clear guidelines for management.
Contrary to what is recommended by recent literature, we consider scrotal exploration and testis fixation mandatory of the contralateral, apparently normal gonad.
Background: polyorchidism is an extremely rare congenital anomaly of the urogenital system and is defined as the presence of more than two testes.
Superior, smaller testis had an abnormally shaped epididymis, no vas deferens but an independent vascular supply (fig. Discussion polyorchidism is rare with a literature search identifying approximately 230 reported cases.
We report a case of polyorchidism presenting as torsion of the supernumerary testis associated with an undescended atrophic contralateral testis.
Bilobed testis, also known as incomplete unilateral polyorchidism, is a very rare variant in children. Pathology the exact etiology is unknown but is thought to be a form of incomplete polyorchidism.
Jun 5, 2020 uğuz s,gürağaç a,demirer z,yilmaz s,aydur e, bilateral polyorchidism with ipsilateral two undescended testes: a rare congenital anomaly.
Polyorchid testes are homogenous, have medium level echoes, and are smaller than the normal contralateral testis. Polyorchidism or testicular duplication characterized by multiple testes. Transverse testicular ectopia is an anomaly in which both testes are located in the same hemiscrotum.
Polyorchidism or supernumerary testes is a very rare condition with only about 200 conirmed cases in the current literature. Most frequently, polyorchidism is found to be a triorchidism and intrascrotal in position, with primordial affection of the left side.
The testis descends through the inguinal canal, past the external inguinal ring, but does not assume its normal location in the scrotum. Ectopic testes may be found in the perineum, femoral canal, superficial inguinal pouch (most common location), suprapubic area, or contralateral hemiscrotum (transverse ectopia – the rarest form).
Polyorchidism is defined as the presence of more than two testes. This rare congenital anomaly has been reported with only 140 pathologically proven cases in the published literature to date.
Polyorchidism is such a rare condition that it is not often considered as a differential diagnosis whilst performing an ultrasound examination of the scrotum. Nonetheless, a chance finding can mimic other pathologies such as scrotal masses, testicular torsion, hernias and cryptorchidism.
Polyorchidism, spermatocele, epididymitis or testis tumor, splenogonadal fusion or acessory adrenal, all associated with contralateral anorchia or abdominal cryptorchidism. As surgery is indicated for the hernia, and due to the rarity of cte and the other associations above, diagnosis is generally made at operation.
Bilobed testicle is an extremely rare testicular malformation in children. It may be presumed that this condition could be an incomplete expression of polyorchidism; however, the etiology of both entities remains unknown. 1 to our knowledge, a single patient has been described in the english pediatric literature. 2 we report the second case and the youngest child, with a bilobed.
Polyorchidism is a rare anomaly where early segmentation in the gonadal ridge can lead to the development of three or less commonly four testes in one individual. Just over reports of this phenomenon exist in english medical literature.
Testicular seminomas are a type of germ cell tumor and the most common testicular tumors, accounting for ~45% of all primary testicular tumors. This article concerns itself only with testicular seminomas; however, seminomas can arise outside of the testicle; most often within the anterior mediastinum - see article on anterior mediastinal germ cell tumors.
Several terms have been used in the literature to describe an accessory or extra testis, including supernumerary testis, 1 – 3 polyorchidism, 4 – 13 testicular duplication, 14, 15 double testis 16 and triorchidism. 17 – 19 polyorchidism is rare, with less than 100 cases reported to date, 5 and is more common on the left side.
Polyorchidism, or supernumerary testis (snt), is a rare congenital condition where there are more than two testes present in the male patient. 2, 3 usually, an snt is found on the left side and is often found incidentally with a hyrdrocele, inguinal hernia, cysts or infertility.
We report a child with unilateral polyorchidism and a contralateral absent testis, a combination not reported previously. A 2-year-old boy was referred to the outpatient clinic with an impalpable left testis. On examination, he had a normal right-sided scrotal testis and an adjacent painless smaller solid swelling.
Apr 10, 2019 gested by histological abnormalities in the contralateral testis after orchiectomy of the ectomy or orchiopexy of the ipsilateral testis but state.
Polyorchidism: sonographic and magnetic resonance image findings key words: imaging; mri; polyorchidism; sonography those of the ipsilateral testis.
Mar 13, 2018 men with polyorchidism have more than two testicles.
Since then nearly 230 cases of polyorchidism have been reported with a meta-analysis revealing 140 cases of histologically confirmed polyorchidism in children and adults. 2 right sided polyorchidism is less common than on the left side. We report a child with unilateral polyorchidism and a contralateral absent testis, a combination not reported.
Polyorchidism is a rare testicular malformation in children but has high propensity for torsion. We present a child with polyorchidism who presented with torsion testis and discuss the types and management of the polyorchidism.
Rare case of polyorchidism with three homolateral testes on the right side and absent testis on the left side has been reported. Splenogonadal fusion is a rare congenital anomaly that may sonographically resemble polyorchidism. [ 5 6 ] in this entity spleen, gonad, epididymis, and vas deferens are fused.
Border of the testes starting from the mediastinum testis or superior pole of the testis, along the body and finally the tail. The ductus deferens transports sperm to the ejaculatory duct from the tail of the epididymis.
Polyorchidism is a rare congenital anomaly, with the first reported case appearing in the 17th century and the first case with histological evaluation described in 1895. 5 it typically pre-sents as two small testicles in one hemiscrotum with one, normal testicle in the contralateral hemiscrotum.
Surgical exploration was done, and the atrophic left supernumerary testicle shown in the photo was removed. Biopsy specimens taken from the remaining testicle were normal. Triorchidism is the most common type of polyorchidism, but patients with five testicles have been reported.
Polyorchidism is defined as the presence of more than two testes. This anomaly is extremely rare, and approximately a hundred cases were described in the literature. We report a case of triorchidism presenting with inguinal hernia and penoscrotal hypospadias in a three-year-old male and briefly discuss current management of polyorchidism.
Nov 8, 2018 testicular doppler us of the scrotum and testicles demonstrated polyorchidism with suggestion of subacute/chronic testicular torsion.
Polyorchidism is a very rare embryological anomaly characterized by the the usual presentation of two homolateral and one contralateral testis and no clear.
Triorchidism is the most common type of polyorchidism, but patients with five testes have been reported the supernumerary testis is usually superior to the ipsilateral testis and the size is smaller than the ipsilateral or contralateral testis (fig.
Fixation of the contralateral testicle is considered in children with monorchism to reduce the risk of torsion later in life to avoid a total loss of reproductive and endocrine function. The majority of patients with polyorchidism are asymptomatic. It is usually a coincidental finding on the investigation of other symptoms such.
We report the case of a 2- year-old boy with intermittent left-sided scrotal swelling and an ipsilateral undescended testis.
In summary, the findings of identical homogeneous echogenicity between two ipsilateral testes, similar to that of the normal contralateral testis, combined with the appearance of an epididymis and/or mediastinum testis associated with each testis, is characteristic of polyorchidism.
Lymphoma can involve the testes in three ways: primary site of extranodal disease (primary testicular lymphoma) secondary involvement of systemic disease primary manifestation of subcli.
Polyorchidism was first described by blasius in 16701during a routine autopsy. We report a child with unilateral polyorchidism and a contralateral absent testis, a combination not reported previously.
8% • 89% of untreated males with bilateral cryptorchidism develop azoospermia • lifetime risk of neoplasia 2-3% – 4 fold higher than average risk.
If a testis cancer is confirmed, a radical orchiectomy is completed. A small if the patient has a normal contralateral testicle and cancer is confirmed in the mass,.
Two cases of polyorchidism with 2 left scrotal testes are referred. In both patients, the segmented gonads showed a bell clapper deformity.
Polyorchidism discovered as testicular torsion associated with an undescended atrophic contralateral testis: a surgical solution. We report a case of polyorchidism presenting as torsion of the supernumerary testis associated with an undescended atrophic contralateral testis.
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