Polyorchidism and inguinoscrotal hernia. Case presentation

OBJECTIVE: To present a case of poliorchidism because despite being known, its incidence is very low. METHOD: A review of the medical records of a patient with the diagnosis of polyorchidism identified during a surgical intervention for inguinoscrotal hernia. RESULTS: A 32-year-old male patient with past medical history referred with inguinal pain. An increase in volume was identified in the right inguinoscrotal region that protruded with Valsalva maneuver and another lump in the right scrotal region. During the operation, a right supernumerary testis was identified in the intrascrotal region with an independent epididymis and sharing a common vas deferens. Lichtenstein hernioplasty was performed and the third testis was placed in the scrotal sac. Doppler ultrasound confirmed the diagnosis. CONCLUSIONS: Due to the normality during the operation and the absence of anomalies in the supernumerary testis by Doppler ultrasound, conservative treatment was decided.