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三睾症:一例罕见病例报告。

Tri-orchidism: A rare case report.

作者信息

Hayat Abdul Malik, Masood Mahjabeen, Chaudhry Saman, Ahmed Awais, Rasheed Rashid, Nizam Mehwish, Arshad Adnan

机构信息

Radiology Departmen, Kabul University of medical sciences, Kabul, Afghanistan.

Radiology Department, Fatima Jinnah Medical University, Lahore, Pakistan.

出版信息

Radiol Case Rep. 2025 Mar 15;20(6):2738-2741. doi: 10.1016/j.radcr.2025.02.069. eCollection 2025 Jun.

DOI:10.1016/j.radcr.2025.02.069
PMID:40151276
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11937628/
Abstract

Tri-orchidism which means 3 testes in the scrotal cavity, is the most common type of the polyorchidism. It is the rarest anomaly of the urogenital tract, and occurs more commonly on the left side. Superanumerary testes shows scrotal and extra-scrotal presentation and is associated with several clinical features and complications. We report a case of triorchidism in a 29-year-old man who presented with left hemiscrotal pain, later on diagnosed on clinical and sonographic examinations. The management depends on different factors and include conservative treatment with follow up, orchidopexy and orchidectomy. Orchidectomy is advised in suspected case of malignancy.

摘要

三睾症是指阴囊腔内有3个睾丸,是多睾症最常见的类型。它是泌尿生殖道最罕见的异常,且更常见于左侧。额外睾丸可表现为阴囊内和阴囊外,与多种临床特征及并发症相关。我们报告一例29岁男性三睾症病例,该患者最初表现为左侧阴囊疼痛,随后经临床及超声检查确诊。治疗方法取决于不同因素,包括随访观察的保守治疗、睾丸固定术及睾丸切除术。怀疑有恶变的病例建议行睾丸切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6de5/11937628/92cd4db3eca0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6de5/11937628/91b274c56832/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6de5/11937628/ffb42ce54cbb/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6de5/11937628/92cd4db3eca0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6de5/11937628/91b274c56832/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6de5/11937628/ffb42ce54cbb/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6de5/11937628/92cd4db3eca0/gr3.jpg

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1
Tri-orchidism: A rare case report.三睾症:一例罕见病例报告。
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本文引用的文献

1
Triorchidism, a Rare Genitourinary Anomaly: A Case Series.三睾症,一种罕见的泌尿生殖系统异常:病例系列
Res Rep Urol. 2021 Jul 31;13:549-552. doi: 10.2147/RRU.S323558. eCollection 2021.
2
Management of Incidental Finding of Triorchidism Diagnosed During Routine Hernia Repair.常规疝修补术中偶然发现三睾症的处理
Res Rep Urol. 2021 Mar 5;13:127-131. doi: 10.2147/RRU.S291621. eCollection 2021.
3
Triorchidism; an incidental finding at inguinal hernia repair: A case report.三睾症;腹股沟疝修补术中的偶然发现:一例病例报告。
Int J Surg Case Rep. 2020;77:813-815. doi: 10.1016/j.ijscr.2020.11.118. Epub 2020 Nov 25.
4
A case of triorchidism.
Radiol Case Rep. 2020 Jul 15;15(9):1643-1645. doi: 10.1016/j.radcr.2020.06.027. eCollection 2020 Sep.
5
A Case Report: Triorchidism; is a Rare Mistaken Cause for Extra Testicular Neoplasm.病例报告:三睾症;一种导致睾丸外肿瘤的罕见误诊原因。
Urol Case Rep. 2015 Mar 14;3(3):89-91. doi: 10.1016/j.eucr.2015.02.002. eCollection 2015 May.
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Triorchidism: two case reports.三睾症:两例病例报告。
Andrologia. 2014;46(9):1073-7. doi: 10.1111/and.12192. Epub 2013 Nov 14.
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Triorchidism: a rare genitourinary abnormality.三睾症:一种罕见的泌尿生殖系统异常。
J Surg Tech Case Rep. 2012 Jul;4(2):126-8. doi: 10.4103/2006-8808.110262.
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Bilobed testicle in children: diagnosis and management.儿童分叶状睾丸:诊断与处理
Can Urol Assoc J. 2009 Dec;3(6):E87-8. doi: 10.5489/cuaj.1188.
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Polyorchidism: a meta-analysis.多睾症:一项荟萃分析
J Urol. 2009 Nov;182(5):2422-7. doi: 10.1016/j.juro.2009.07.063. Epub 2009 Sep 17.
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Triorchidism at orchidopexy: a case report.睾丸固定术中的三睾症:一例报告
J Med Case Rep. 2008 Jul 25;2:247. doi: 10.1186/1752-1947-2-247.