TRIORCHIDISM WITH TORSION OF ACCESSORY TESTIS: A CASE REPORT

Abstract

Polyorchidism is an extremely rare congenital anomaly of the urogenital system and is defined as the presence of more than two testes. The majorities of patients are asymptomatic or present with painless inguinal or scrotal masses. We present the case of an 31-year-old male presented in surgery opd with pain and sudden increase in size of swelling right groin. Although it was present since birth but it was painless and small in size.  No history of trauma, fever, pus discharge.  On examination single ovoid mobile tender swelling was present in right groin, overlying skin was normal and bilateral testis and penis was normal. USG and CT scan showed triorchidism with torsion of accessory testis. Exploration was done under LA and accessory testis was removed. Polyorchidism is a rare congenital anomaly. Patients with polyorchidism can be managed conservatively unless there are no accompanying problems such as inguinal hernia, cryptorchidism or torsion.

Keywords: polyorchidism, Acessory  testis, Triorchidism.