Otero Javier, Ben-Yakar Natalie, Alemayehu Biruk, Kozusko Steven D, Borao Frank, Vates Iii Thomas S
Department of Surgery, Monmouth Medical Center, Barnabas Health, Long Branch, NJ 07740, USA.
Drexel University College of Medicine, Philadelphia, PA 19129, USA.
Case Rep Urol. 2016;2016:2729614. doi: 10.1155/2016/2729614. Epub 2016 Jul 13.
. Polyorchidism, alternatively supernumerary testes (SNT), is a condition where an individual is born with more than two testicles. This congenital anomaly is quite rare and the literature has described various presentations. . To our knowledge, this presentation of polyorchidism has yet to be described in the literature. The goal of this case study is to add to the pediatric, general, and urologic surgery's body of knowledge of the subject matter. . A nine-month-old boy was admitted for an impalpable right testis and phimosis. At the time of surgical exploration, there appeared to be polyorchid testis on the right-hand side, with three masses that potentially appeared to be undescended testes. . Proponents of a conservative approach argue that infertility is common in patients with polyorchidism and, by preserving a potentially functional SNT, there may be improved spermatogenesis. When performing definitive surgical treatment, meticulous intra-abdominal and intrainguinal exploration must be undertaken. Orchiopexy should be performed to reduce the chances of torsion, malignancy, and infertility. . Our case is important to the literature as it is the first known case of polyorchidism with 3 SNT on the right side, located intra-abdominally, and in a patient less than 1 year of age.
多睾症，又称额外睾丸（SNT），是指个体出生时睾丸多于两个的一种情况。这种先天性异常相当罕见，文献中描述了其各种表现形式。据我们所知，这种多睾症的表现形式在文献中尚未被描述过。本病例研究的目的是丰富儿科、普通外科和泌尿外科手术领域关于该主题的知识体系。一名九个月大的男孩因右侧睾丸无法触及和包茎入院。在手术探查时，右侧似乎有多睾症睾丸，有三个肿块，看起来可能是未降入阴囊的睾丸。主张采取保守方法的人认为，多睾症患者不育很常见，通过保留一个可能有功能的额外睾丸，可能会改善精子发生。进行确定性手术治疗时，必须在腹腔内和腹股沟内进行细致探查。应进行睾丸固定术以减少扭转、恶变和不育的几率。我们的病例对文献很重要，因为它是已知的首例右侧有三个额外睾丸、位于腹腔内且患者年龄小于1岁的多睾症病例。
