Project description:Introductionand importance Polyorchidism is defined as the presence of three testes or more. Approximately, there are about 200 cases of polyorchidism in the medical literature. In the past, surgical treatment was done but now with imaging studies, less aggressive approach is recommended.Here we present a case of 40-year-old man who was diagnosed incidentally with polyorchidism in the right hemiscrotum which is quite unusual in this age.Case presentationA 40-year-old man presented to the emergency department with a swelling and pain in the left hemiscrotum. In palpation, we noticed a scrotal mass in the right hemiscrotum. His parents had first noticed a scrotal mass when he was two years old and was incorrectly diagnosed as hydrocele by an unauthorized practitioner.In the left hemiscrotum, Doppler confirmed acute epididymitis diagnosis that was treated conservatively with antibiotics and NSAIDs. In the right hemiscrotum, MRI showed that the lump had separate epididymis and shared a common vas deferens with the right testis, which confirmed the diagnosis of supernumerary testis and the patient underwent a follow-up ultrasound after a month and after six months of his presentation.DiscussionTriorchidism is the most common type of polyorchidism. Polyorchidism is diagnosed incidentally hence it is asymptomatic. There are many types of Polyorchidism and tow classification have been described. When the patient is asymptomatic the concentrative treatment is recommended.ConclusionPolyorchidism is a rare congenital anomaly in the genitourinary tract. It is diagnosed incidentally. Ultrasound or MRI are used to diagnose polyorchidism cases.

| S-EPMC8144338 | biostudies-literature

Case 30-2020: A 54-Year-Old Man with Sudden Cardiac Arrest.

Project description: Not available

| S-EPMC8568064 | biostudies-literature

Case 7-2023: A 70-Year-Old Man with Covid-19, Respiratory Failure, and Rashes.

Project description: Not available

| S-EPMC10029363 | biostudies-literature

A 40-Year-Old Man With Respiratory Failure and Sepsis.

Project description: Not available

| S-EPMC8980545 | biostudies-literature

Case 23-2020: A 76-Year-Old Woman Who Died from Covid-19.

Project description: Not available