SUN-030 Tetraorchidism: A Rare Type of Polyorchidism

Polyorchidism is defined as the presence of two or more testis. We report an interesting case of Tetraorchidism an extremely rare type of Polyorchidism in a 14-year-old boy with short stature due to Growth hormone deficiency. An extensive review of literature yielded only 200 case reports of Polyorchidism [1]. Most of these are case reports on triorchidism (3 testicles). There has been only 9 case reports of patients with (tetraorchidism) 4 testicles [2]. Most of them has been reported as incidental findings in adults. This case is being reported due to its rarity. Here we elaborate on clinical presentation of Polyorchidism in children and their management plan. More specifically from Pediatric Endocrinology perspective, we discuss the influence of the Polyorchidism on the Tanner staging (by testicular volume), growth and pubertal development in boys. Reference: 1. Amanda Myers, Bradley Morganstern and Ronnie Fine Urology, 2017-06-01, Volume 104, Pages 196-197, 2. Ibrahim H., Roberts M.J., and Hussey D.: Quadruple orchidopexy for torsion testis in an adolescent with polyorchidism: a case report. Urology 2016; 87: pp. 196-199.