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Case Reports
. 2025 Mar 15;20(6):2738-2741.
doi: 10.1016/j.radcr.2025.02.069. eCollection 2025 Jun.

Tri-orchidism: A rare case report

Abdul Malik Hayat  1 , Mahjabeen Masood  2 , Saman Chaudhry  2 , Awais Ahmed  2 , Rashid Rasheed  3 , Mehwish Nizam  3 , Adnan Arshad  3
Affiliations
Case Reports

Tri-orchidism: A rare case report

Abdul Malik Hayat et al. Radiol Case Rep. .

Abstract

Tri-orchidism which means 3 testes in the scrotal cavity, is the most common type of the polyorchidism. It is the rarest anomaly of the urogenital tract, and occurs more commonly on the left side. Superanumerary testes shows scrotal and extra-scrotal presentation and is associated with several clinical features and complications. We report a case of triorchidism in a 29-year-old man who presented with left hemiscrotal pain, later on diagnosed on clinical and sonographic examinations. The management depends on different factors and include conservative treatment with follow up, orchidopexy and orchidectomy. Orchidectomy is advised in suspected case of malignancy.

Keywords: MRI; Polyorchidism; Tri-orchidism; Ultrasound.

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Figures

Fig 1
Fig. 1
Tri-orchidism. Right hemi-scrotal cavity shows a single testis. Left hemi-scrotal cavity shows 2 relatively small sized testes.
Fig 2
Fig. 2
MRI scrotum, coronal plane demonstrates right hemiscrotal single testis and left hemiscrotal 2 relatively small sized testes.
Fig 3
Fig. 3
Classification of polyorchidism by Leung, by Bril_Laurel-Follah_F.
See this image and copyright information in PMC

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