Open Access

CASE REPORT

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

Megan G. Paradzinsky^1,*, Mukul Sharda¹, Arya R. Anvar¹, Travis W. Groth²

1 Department of Urology, Medical College of Wisconsin, Milwaukee, WI 53226, USA
2 Division of Urology, Children’s Hospital of Wisconsin, Milwaukee, WI 53226, USA

* Corresponding Author: Megan G. Paradzinsky. Email:

Canadian Journal of Urology 2025, 32(3), 213-217. https://doi.org/10.32604/cju.2025.063777

Received 23 January 2025; Accepted 16 May 2025; Issue published 27 June 2025

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.

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Supplementary Material

Supplementary Material File

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