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Case Report

Triorchidism: Presenting as Undescended Testis in a Case of Indirect Inguinal Hernia

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
*
Author to whom correspondence should be addressed.
Clin. Pract. 2016, 6(2), 786; https://doi.org/10.4081/cp.2016.786
Submission received: 8 May 2015 / Revised: 24 March 2016 / Accepted: 25 March 2016 / Published: 23 June 2016

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 undescended; triorchidism; polyorchidism; ectopic

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MDPI and ACS Style

Bhandarwar, A.H.; Gandhi, S.S.; Patel, C.B.; Wagh, A.N.; Gawli, V.; Jain, N.A. Triorchidism: Presenting as Undescended Testis in a Case of Indirect Inguinal Hernia. Clin. Pract. 2016, 6, 786. https://doi.org/10.4081/cp.2016.786

AMA Style

Bhandarwar AH, Gandhi SS, Patel CB, Wagh AN, Gawli V, Jain NA. Triorchidism: Presenting as Undescended Testis in a Case of Indirect Inguinal Hernia. Clinics and Practice. 2016; 6(2):786. https://doi.org/10.4081/cp.2016.786

Chicago/Turabian Style

Bhandarwar, Ajay H., Saurabh S. Gandhi, Chintan B. Patel, Amol N. Wagh, Virendra Gawli, and Nimesh A. Jain. 2016. "Triorchidism: Presenting as Undescended Testis in a Case of Indirect Inguinal Hernia" Clinics and Practice 6, no. 2: 786. https://doi.org/10.4081/cp.2016.786

APA Style

Bhandarwar, A. H., Gandhi, S. S., Patel, C. B., Wagh, A. N., Gawli, V., & Jain, N. A. (2016). Triorchidism: Presenting as Undescended Testis in a Case of Indirect Inguinal Hernia. Clinics and Practice, 6(2), 786. https://doi.org/10.4081/cp.2016.786

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