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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PAGEPress Publications, Pavia, Italy
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4943097/ https://www.ncbi.nlm.nih.gov/pubmed/27478577 http://dx.doi.org/10.4081/cp.2016.786 |
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author | Bhandarwar, Ajay H. Gandhi, Saurabh S. Patel, Chintan B. Wagh, Amol N. Gawli, Virendra Jain, Nimesh A. |
author_facet | Bhandarwar, Ajay H. Gandhi, Saurabh S. Patel, Chintan B. Wagh, Amol N. Gawli, Virendra Jain, Nimesh A. |
author_sort | Bhandarwar, Ajay H. |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-4943097 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | PAGEPress Publications, Pavia, Italy |
record_format | MEDLINE/PubMed |
spelling | pubmed-49430972016-07-29 Triorchidism: Presenting as Undescended Testis in a Case of Indirect Inguinal Hernia Bhandarwar, Ajay H. Gandhi, Saurabh S. Patel, Chintan B. Wagh, Amol N. Gawli, Virendra Jain, Nimesh A. Clin Pract Case Report 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. PAGEPress Publications, Pavia, Italy 2016-06-23 /pmc/articles/PMC4943097/ /pubmed/27478577 http://dx.doi.org/10.4081/cp.2016.786 Text en ©Copyright A.H. Bhandarwar et al. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Bhandarwar, Ajay H. Gandhi, Saurabh S. Patel, Chintan B. Wagh, Amol N. Gawli, Virendra Jain, Nimesh A. Triorchidism: Presenting as Undescended Testis in a Case of Indirect Inguinal Hernia |
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 | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4943097/ https://www.ncbi.nlm.nih.gov/pubmed/27478577 http://dx.doi.org/10.4081/cp.2016.786 |
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