Doppler ultrasound findings in a patient with primary infertility and triorchidism

Polyorchidism, presence of more than two testes in a scrotum, is a rare clinical entity. To date, about 200 cases have been reported in the literature. We report a case of triorchidism in a patient presenting with a 7-year history of primary infertility. Clinical examination revealed two completely...

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Bibliographic Details
Published in:BMJ case reports 2016-05, Vol.2016, p.bcr2016215346
Main Authors: Aziz, Wajahat, Rehman, Khaleeq Ur, Rafique, Muhammad Zafar
Format: Article
Language:English
Subjects:
Adult
Asia
Cysts
Diagnosis, Differential
Humans
Indian Sub-Continent
Infertility
Male
Oligospermia - etiology
Patients
Rare Disease
Sperm
Testis - abnormalities
Testis - diagnostic imaging
Tumors
Ultrasonography, Doppler, Color - methods
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Summary:Polyorchidism, presence of more than two testes in a scrotum, is a rare clinical entity. To date, about 200 cases have been reported in the literature. We report a case of triorchidism in a patient presenting with a 7-year history of primary infertility. Clinical examination revealed two completely separate testes with two separate epididymides and single vas suggesting a complete division of the genital ridge and partial duplication of the vas deferens. In our patient, the clinical picture together with ultrasound findings were characteristic enough to exclude other diagnoses, allowing conservative management. We also present the Doppler ultrasound findings of this rare condition, which may be helpful for comparison in patients with triorchidism who present with testicular torsion.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2016-215346