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. 2010 Jun;4(3):E67-70.
doi: 10.5489/cuaj.860.

Torsion of bilobed testis and biopsy-proven ipsilateral supernumerary testis in an adolescent

Darren Beiko  1 , Andrew E Macneily
Affiliations

Torsion of bilobed testis and biopsy-proven ipsilateral supernumerary testis in an adolescent

Darren Beiko et al. Can Urol Assoc J. 2010 Jun.

Abstract

Testicular torsion in patients with polyorchidism is rare, with less than 20 cases being reported. Bilobed testis has only been reported once in the literature to date. We report an interesting case of polyorchidism with torsion of an ipsilateral bilobed testis. The abnormal looking bilobed infarcted testis was removed, but the smaller viable supernumerary testis was biopsied and preserved.

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Figures

Fig. 1a.
Fig. 1a.
Ultrasound showing bilobed testis with normal echogenicity.
Fig. 1b.
Fig. 1b.
Ultrasound showing accessory structure in left hemiscrotum, not yet diagnosed. Scrotal exploration and biopsy proved it to be a supernumerary testis.
Fig. 1c.
Fig. 1c.
Ultrasound showing infarcted bilobed testis with marked hypoechogenicity.
Fig. 2a.
Fig. 2a.
Intraoperative photograph showing infarcted bilobed testis (large arrow) and a well-perfused smaller supernumerary testis.
Fig. 2b.
Fig. 2b.
Intraoperative photograph showing the intact vascular stalk of the supernumerary testis.
See this image and copyright information in PMC

References

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