Veloudis George, Pallas Nikolaos, Zografidis Andreas, Gourgiotis Stavros, Villias Constantinos
Second Surgical Department, 401 General Army Hospital of Athens, Athens, Greece.
Med Princ Pract. 2009;18(2):159-61. doi: 10.1159/000189817. Epub 2009 Feb 10.
The aim of this study was to present a rare congenital anomaly of polyorchidism and to review the current management.
We report the case of a 19-year-old man who was referred for the treatment of an indirect left inguinal hernia. The ultrasound demonstrated a testis on the right side with an additional mass. The preoperative laboratory studies were normal. At surgery, a solid mass consistent with an ectopic testis was removed. The histological evaluation showed the presence of a fourth testis without malignancy, confirming the diagnosis of bilateral, double testes associated with intraabdominal cryptorchidism, which was removed for histology. The postoperative endocrinological evaluation revealed hypergonadotrophic hypogonadism. The patient was followed up conservatively.
Polyorchidism should be included in the differential diagnosis of a solid extratesticular mass, and its management should be conservative.
本研究旨在介绍一种罕见的先天性多睾症异常情况，并回顾当前的治疗方法。
我们报告了一名19岁男性患者的病例，该患者因左侧腹股沟斜疝前来就诊。超声检查显示右侧有一个睾丸以及一个额外的肿块。术前实验室检查结果正常。手术中，切除了一个与异位睾丸相符的实性肿块。组织学评估显示存在第四个睾丸且无恶性病变，证实诊断为双侧双睾丸伴腹腔内隐睾，已将其切除进行组织学检查。术后内分泌评估显示高促性腺激素性性腺功能减退。对该患者进行了保守随访。
多睾症应纳入睾丸外实性肿块的鉴别诊断，其治疗应采取保守方法。
