Nikolinakos Panagiotis, Chatterjee Abhisekh, Christianakis Efstratios, Alexandrou Ioannis, Chatzikrachtis Nikolaos, Kotsi Elisavet, Alargkof Viktor, Donkov Ivo, Bishara Samuel, Zavras Nikolaos, Norris Joseph M
Department of Urology, West Middlesex University Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Department of Pediatric Surgery, School of Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Case Rep Urol. 2025 Sep 9;2025:5258413. doi: 10.1155/criu/5258413. eCollection 2025.
Polyorchidism, or supernumerary testes (SNTs), is a rare congenital condition, management of which remains debated, particularly in paediatric cases with other concomitant features. We report a case of intrascrotal polyorchidism in a 14-year-old boy managed surgically due to parental preference and the need for histological confirmation. The patient presented with a 2-week history of painless heaviness in the scrotum. Physical examination and Doppler ultrasonography revealed a 1.8 cm mass fused to the inferior pole of the left testicle with associated Grade 1 varicocele, hydrocele and testicular appendix. Although MRI of the scrotum was initially offered, the family declined in favour of timely histological confirmation. Surgical exploration confirmed a fused supernumerary testicle and a biopsy showed normal spermatogenesis; this was consistent with Type A3 triorchidism. The patient had no complications or recurrence of symptoms at 12-month follow-up. This case highlights the use of surgical exploration in selected intrascrotal polyorchidism cases where imaging can be inconclusive or histological confirmation is required. Parental concerns and long-term reassurance may also reasonably influence management decisions.
多睾症，即额外睾丸（SNTs），是一种罕见的先天性疾病，其治疗方法仍存在争议，尤其是在伴有其他并发特征的儿科病例中。我们报告一例14岁男孩阴囊内多睾症病例，因家长的偏好以及需要组织学确诊而接受了手术治疗。该患者有阴囊无痛性坠胀感2周的病史。体格检查和多普勒超声检查发现一个1.8厘米的肿块与左侧睾丸下极融合，伴有1级精索静脉曲张、鞘膜积液和睾丸附件。虽然最初建议进行阴囊MRI检查，但家属因希望及时获得组织学确诊而拒绝了。手术探查证实有一个融合的额外睾丸，活检显示生精功能正常；这与A3型三睾症相符。在12个月的随访中，患者没有出现并发症或症状复发。该病例强调了在某些阴囊内多睾症病例中，当影像学检查结果不明确或需要组织学确诊时，手术探查的应用价值。家长的担忧和长期的安抚也可能合理地影响治疗决策。
