Polyorchidism: A rare cause of testicular torsion

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Date
2022-07-13Authors
Villanueva Congote, JulianaPrada, Stefania
Arenas, Juliana
Varela, Daniela
Patino, German
Fernandez, Nicolas
Corporate Author(s)
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Urología
Type
Artículo de revista
ISSN
2469-5742
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Abstract
Background: Polyorchidism is a rare congenital anomaly
of the urogenital tract. Usually, it requires conservative
management; however, this varies according to each patient.
This report summarizes the possible clinical presentation
and the feasible management options depending on the
patients and testicular characteristics.
Case presentation: 23 years old young male presented
to our outpatient clinic with intermittent left testicular pain
associated with tenderness to palpation. On the physical
exam, he had a palpable mass at the upper pole of the left
testis. He was taken to an MRI, which showed a normal right
testis with a left mass-dependent of the upper pole of the left
testis. He was discharged after pain control was achieved;
however, he presented again to the Emergency Room
with acute left testicular pain one week later. The physical
exam was suggestive of left testicular torsion. He was taken
to surgery for scrotal exploration and bilateral testicular
fixation. Polyorchidism was confirmed intraoperatively.
Conclusions: Polyorchidism is a rare pathology of the male
genitalia. When suspected, a thorough physical examination
is always mandatory. It is essential to individualize the
patients’ cases to decide whether conservative management
is attainable, with radiologic studies support.
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Pacientes con PoliorquidismoLink to the resource
https://clinmedjournals.org/articles/iauc/international-archives-of-urology-and-complications-iauc-8-086.php?jid=iaucSource
International Archives of Urology and Complications; Volumen 8 Número 2 , Páginas 1 - 6 (2022)
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