CLINICAL CASE:

a 16-year-old adolescent sought medical attention for nonpainful tumor of the right hemiscrotum. Upon physical examination, two ovoid structures were palpated, from which emerged tubular structures suggestive of vasa deferentia. Varicocele was not palpated. Suspecting polyorchidism, a scrotal ultrasound study was carried out that identified two images: one measuring 3.7 x 2.7 x 2.5 cm and the other 3.7 x 3 x 2.8 cm, in addition to microlithiasis. Because the patient was asymptomatic and willing to carry out adequate follow-up, periodic surveillance was decided upon, through medical visits and serial ultrasound imaging.

DISCUSSION:

polyorchidism diagnosis is made through biopsies and imaging studies (ultrasound and magnetic resonance). Treatment depends on the location, functionality, and classification of the supernumerary testis. It is recommended to leave the testis in situ only when there is intrascrotal location and functionality.