Cryptic torsion: a case report of intra-abdominal supernumerary testicular torsion in a pediatric patient with normal descended testes.

Abstract

Polyorchidism is a rare anomaly of the male urogenital tract characterized by the presence of one or more extra testes. Supernumerary testes can often present with coexistent conditions, including cryptorchidism, inguinal hernia, and torsion. We report a case of a pediatric patient with initial concern for intra-scrotal left testicular torsion on ultrasonography who was ultimately found to have torsion of an intra-abdominal supernumerary testis. He underwent scrotal exploration with bilateral orchiopexy and laparoscopic excision of the torsed gonad. This case highlights a unique presentation of polyorchidism with incongruent descent of an ipsilateral supernumerary testis.