Incidental finding of polyorchidism during elective orchidopexy in a child: a case report

Polyorchidism is a rare congenital anomaly characterized by the presence of more than two testes. It is commonly discovered incidentally during surgical exploration. We report a case of a 7-year-old male with Polyorchidism diagnosed during elective surgery for undescended left testis. An intra-scrotal supernumerary testis was found with a cryptorchidic testis located at the inguinal canal. We opted for Orchidectomy of the intrascrotal atrophic testis, and orchidopexy of the healthy testis. Histopathology confirmed the diagnosis. Postoperative recovery and follow-up were uneventful. This case highlights the importance of polyorchidism management based on anatomical and functional findings intraoperatively.