POLYORCHIDISM PRESENTING WITH INGUINAL HERNIA:A CASE REPORT AND A REVIEW OF LITERATURE

Abstract

Triorchidism is the commonest variety of polyorchidism, an entity with more than two testes is an extremely
rare congenital anomaly of the testis. Although removal of the supernumerary testis is a safer alternative
proposed, recent literature recommends more conservative approach in normal testes with vigilant regular
follow up to screen for malignancy. This case presented as a left inguinal swelling diagnosed as indirect
left inguinal hernia with left undescended testis. Intraoperatively indirect inguinal hernia was noted with
supernumerary testis at deep ring in addition to normal left testis in hernia sac in the inguinal canal. The
ectopic testis was small (2×2×1 cm) lacking epididymis and with short vas deferens. After performing
herniotomy and orchidopexdy, supernumerary testis was excised for a possible malignancy.
Histopathologicalexamination showed presence of immature testicular tissue.