Triorchidism: presenting as undescended testis in a case of indirect inguinal hernia
Triorchidism is the commonest variety of polyorchidism, an entity with more than two testis is an extremely rare congenital anomaly of the testis. Although excision of the abnormal testis is a safer alternative proposed, recent literature suggests more conservative approach in normal testes with wat...
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| Format: | Article |
| Language: | English |
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MDPI AG
2016-06-01
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| Series: | Clinics and Practice |
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| Online Access: | https://www.clinicsandpractice.org/index.php/cp/article/view/786 |
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| author | Ajay H. Bhandarwar Saurabh S. Gandhi Chintan B. Patel Amol N. Wagh Virendra Gawli Nimesh A. Jain |
| author_facet | Ajay H. Bhandarwar Saurabh S. Gandhi Chintan B. Patel Amol N. Wagh Virendra Gawli Nimesh A. Jain |
| author_sort | Ajay H. Bhandarwar |
| collection | DOAJ |
| description | Triorchidism is the commonest variety of polyorchidism, an entity with more than two testis is an extremely rare congenital anomaly of the testis. Although excision of the abnormal testis is a safer alternative proposed, recent literature suggests more conservative approach in normal testes with watchful regular follow up to screen for malignancy. This case presented as a left inguinal swelling diagnosed as indirect left inguinal hernia. The left side testis was of smaller size (about half) with normal sperm count, morphology and motility. Intraoperatively indirect inguinal hernia was noted with supernumerary testis at deep ring in addition to normal left testis in left scrotal sac. The ectopic testis were small (2.5×2.5×1 cm) lacking epididymis and with short vas deferens. An evident normal semen analysis and varied anatomy, the decision for orchidectomy of ectopic testis was taken. The histopathological finding was consistent with arrest in germ cell development. |
| first_indexed | 2024-04-11T18:28:14Z |
| format | Article |
| id | doaj.art-f6816de343b24ca1a9087d62414e9e1b |
| institution | Directory Open Access Journal |
| issn | 2039-7275 2039-7283 |
| language | English |
| last_indexed | 2024-04-11T18:28:14Z |
| publishDate | 2016-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-f6816de343b24ca1a9087d62414e9e1b2022-12-22T04:09:33ZengMDPI AGClinics and Practice2039-72752039-72832016-06-016210.4081/cp.2016.786344Triorchidism: presenting as undescended testis in a case of indirect inguinal herniaAjay H. Bhandarwar0Saurabh S. Gandhi1Chintan B. Patel2Amol N. Wagh3Virendra Gawli4Nimesh A. Jain5Division of Gastrointestinal, Hepatobiliary & Pancreatic, Minimal Access, Bariatric & Metabolic Surgery, Department of Surgery, Grant Government Medical College & Sir J.J. Group of Hospitals, Byculla, Mumbai, MaharashtraDivision of Gastrointestinal, Hepatobiliary & Pancreatic, Minimal Access, Bariatric & Metabolic Surgery, Department of Surgery, Grant Government Medical College & Sir J.J. Group of Hospitals, Byculla, Mumbai, MaharashtraDivision of Gastrointestinal, Hepatobiliary & Pancreatic, Minimal Access, Bariatric & Metabolic Surgery, Department of Surgery, Grant Government Medical College & Sir J.J. Group of Hospitals, Byculla, Mumbai, MaharashtraDivision of Gastrointestinal, Hepatobiliary & Pancreatic, Minimal Access, Bariatric & Metabolic Surgery, Department of Surgery, Grant Government Medical College & Sir J.J. Group of Hospitals, Byculla, Mumbai, MaharashtraDivision of Gastrointestinal, Hepatobiliary & Pancreatic, Minimal Access, Bariatric & Metabolic Surgery, Department of Surgery, Grant Government Medical College & Sir J.J. Group of Hospitals, Byculla, Mumbai, MaharashtraDivision of Gastrointestinal, Hepatobiliary & Pancreatic, Minimal Access, Bariatric & Metabolic Surgery, Department of Surgery, Grant Government Medical College & Sir J.J. Group of Hospitals, Byculla, Mumbai, MaharashtraTriorchidism is the commonest variety of polyorchidism, an entity with more than two testis is an extremely rare congenital anomaly of the testis. Although excision of the abnormal testis is a safer alternative proposed, recent literature suggests more conservative approach in normal testes with watchful regular follow up to screen for malignancy. This case presented as a left inguinal swelling diagnosed as indirect left inguinal hernia. The left side testis was of smaller size (about half) with normal sperm count, morphology and motility. Intraoperatively indirect inguinal hernia was noted with supernumerary testis at deep ring in addition to normal left testis in left scrotal sac. The ectopic testis were small (2.5×2.5×1 cm) lacking epididymis and with short vas deferens. An evident normal semen analysis and varied anatomy, the decision for orchidectomy of ectopic testis was taken. The histopathological finding was consistent with arrest in germ cell development.https://www.clinicsandpractice.org/index.php/cp/article/view/786Undescendedtriorchidismpolyorchidismectopic. |
| spellingShingle | Ajay H. Bhandarwar Saurabh S. Gandhi Chintan B. Patel Amol N. Wagh Virendra Gawli Nimesh A. Jain Triorchidism: presenting as undescended testis in a case of indirect inguinal hernia Clinics and Practice Undescended triorchidism polyorchidism ectopic. |
| title | Triorchidism: presenting as undescended testis in a case of indirect inguinal hernia |
| title_full | Triorchidism: presenting as undescended testis in a case of indirect inguinal hernia |
| title_fullStr | Triorchidism: presenting as undescended testis in a case of indirect inguinal hernia |
| title_full_unstemmed | Triorchidism: presenting as undescended testis in a case of indirect inguinal hernia |
| title_short | Triorchidism: presenting as undescended testis in a case of indirect inguinal hernia |
| title_sort | triorchidism presenting as undescended testis in a case of indirect inguinal hernia |
| topic | Undescended triorchidism polyorchidism ectopic. |
| url | https://www.clinicsandpractice.org/index.php/cp/article/view/786 |
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