Polyorchism in association with an undescended testis and testicular atrophy: Report of a unique case and review of the literature

Abstract Polyorchism appears a rare anomaly characterized by the presence of one or more supernumerary testes with approximately 150 histologically confirmed cases in the published literature. The approach to management has changed over time, with improvements in imaging techniques allowing surveillance to replace surgical excision or exploration and biopsy. We present the case of a child with apparent undescended testis found to have an intraabdominal testis and scrotal testicular remnant at operation. We discuss the implications of this finding in the management of supernumerary testes.