Cover Image

Triorchidism: presenting as undescended testis in a case of indirect inguinal hernia

Ajay H. Bhandarwar, Saurabh S. Gandhi, Chintan B. Patel, Amol N. Wagh, Virendra Gawli, Nimesh A. Jain
  • Ajay H. Bhandarwar
    Division of Gastrointestinal, Hepatobiliary & Pancreatic, Minimal Access, Bariatric & Metabolic Surgery, Department of Surgery, Grant Government Medical College & Sir J.J. Group of Hospitals, Byculla, Mumbai, Maharashtra, India | abhandarwar@gmail.com
  • Saurabh S. Gandhi
    Division of Gastrointestinal, Hepatobiliary & Pancreatic, Minimal Access, Bariatric & Metabolic Surgery, Department of Surgery, Grant Government Medical College & Sir J.J. Group of Hospitals, Byculla, Mumbai, Maharashtra, India
  • Chintan B. Patel
    Division of Gastrointestinal, Hepatobiliary & Pancreatic, Minimal Access, Bariatric & Metabolic Surgery, Department of Surgery, Grant Government Medical College & Sir J.J. Group of Hospitals, Byculla, Mumbai, Maharashtra, India
  • Amol N. Wagh
    Division of Gastrointestinal, Hepatobiliary & Pancreatic, Minimal Access, Bariatric & Metabolic Surgery, Department of Surgery, Grant Government Medical College & Sir J.J. Group of Hospitals, Byculla, Mumbai, Maharashtra, India
  • Virendra Gawli
    Division of Gastrointestinal, Hepatobiliary & Pancreatic, Minimal Access, Bariatric & Metabolic Surgery, Department of Surgery, Grant Government Medical College & Sir J.J. Group of Hospitals, Byculla, Mumbai, Maharashtra, India
  • Nimesh A. Jain
    Division of Gastrointestinal, Hepatobiliary & Pancreatic, Minimal Access, Bariatric & Metabolic Surgery, Department of Surgery, Grant Government Medical College & Sir J.J. Group of Hospitals, Byculla, Mumbai, Maharashtra, India

Abstract

Triorchidism is the commonest variety of polyorchidism, an entity with more than two testis is an extremely rare congenital anomaly of the testis. Although excision of the abnormal testis is a safer alternative proposed, recent literature suggests more conservative approach in normal testes with watchful regular follow up to screen for malignancy. This case presented as a left inguinal swelling diagnosed as indirect left inguinal hernia. The left side testis was of smaller size (about half) with normal sperm count, morphology and motility. Intraoperatively indirect inguinal hernia was noted with supernumerary testis at deep ring in addition to normal left testis in left scrotal sac. The ectopic testis were small (2.5×2.5×1 cm) lacking epididymis and with short vas deferens. An evident normal semen analysis and varied anatomy, the decision for orchidectomy of ectopic testis was taken. The histopathological finding was consistent with arrest in germ cell development.

Keywords

Undescended; triorchidism; polyorchidism; ectopic.

Full Text:

PDF
HTML
Submitted: 2015-05-08 13:59:39
Published: 2016-06-23 18:29:41
Search for citations in Google Scholar
Related articles: Google Scholar
Abstract views:
414

Views:
PDF
122
HTML
461

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM


Copyright (c) 2016 Ajay H. Bhandarwar, Saurabh S. Gandhi, Chintan B. Patel, Amol N. Wagh, Virendra Gawli, Nimesh A. Jain

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
 
© PAGEPress 2008-2018     -     PAGEPress is a registered trademark property of PAGEPress srl, Italy.     -     VAT: IT02125780185