POLYORCHIDISM

AN UNUSUAL SCROTAL LUMP

Abstract

Polyorchidism is a very rare anomaly that is defined by the presence of
more than two testes. Knowledge about the condition and accurate imaging diagnosis and
characterization is important to decide the optimal line of management and avoid unnecessary
surgery. A 14-year-old male reported for Scrotal Color Doppler Ultrasound with complaint of
a painless mass in the left scrotum with no history of trauma. On physical examination, there
were two palpable, ovoid, mobile, non-tender masses in the left hemiscrotum. Scrotal Color
Doppler Ultrasonography (USG) revealed a well circumscribed supernumerary testicle in the
left scrotum adjacent to superior pole of left testis with parenchymal echogenicity and doppler
vascularity like that of normal testis parenchyma. In conclusion, diagnosis was polyorchidism
with duplication of the left testicle. The patient was advised follow-up after one-year. USG is the
modality of choice to assist in the diagnosis.