Polyorchidism: A Rare Finding in Inguinal Swelling

Polyorchidism is a rare congenital anomaly with most common occurrence of three testes (triorchidism). Polyorchidism is more common on left side. To date, in children less than 50 cases are reported.[1,2] The majority of patients are asymptomatic or present with painless inguinoscrotal masses, undescended testis, and rarely, torsion of the supernumerary testis. In children the appropriate management of polyorchidism remains unclear. With the advances in imaging techniques the former practice of removing the supernumerary testes has changed. The conservative surveillance of polyorchidism in cases with a normal radiological appearance and negative tumor-markers is an accepted practice especially in the pediatric population.[3] We have encountered a child with right sided triorchidism who was managed by preservation of both the testes.