July 2011

Patient with 3 testicles ???

Bookmark

Clinical information

3 palpable structures within the scrotum

Ultrasound Images & Clips

3 scrotal structures

Transverse image showing 3 scrotal structures

Another extended field of view image showing 3 identical looking structures

Longitudinal image of a normal left testis

Longitudinal image of a normal right testis

Longitudinal image of the structure next to the right testis

Longitudinal image of the structure next to the right testis. The structure is vascularized

Transverse image of the structure next to the right testis

Transverse image of the scrotum. The structure on the right side has an echogenicity yhat is slightly higher than the 2 normal testis.

Conclusion

Although the structure has the size of a testis and it is vascularized, it is not a third testis. During compression the structure was soft. The structure was not present during childhood and had developed over the last months. Because of its aspect and structure we concluded that the third structure was probably a lipoma. This was confirmed during surgery
Conclusion 2 normal testis and a lipoma resembling a third testis

References
Multimodality imaging of paratesticular neoplasms and their rare mimics.
Akbar SA, Sayyed TA, Jafri SZ, Hasteh F, Neill JS.
Radiographics. 2003 Nov-Dec;23(6):1461-76. Review

Details

Sex: Male
Age: 42

Created with

Fujifilm Ultrasound System

Browse through our ultrasound product portfolio

Looking for MSK Ultrasound Education? Visit Sonoskills.com

Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

More Cases from Taco Geertsma

[{"listLocation":"abdomen-and-retroperitoneum","icon":"001-abdomen-white.svg","header":"Abdomen and retroperitoneum","id":63},{"listLocation":"urinary-tract-and-male-reproductive-system","icon":"002-urinary-tract-white.svg","header":"Urinary Tract and male reproductive system","id":64},{"listLocation":"gynaecology","icon":"003-gynaecology-white.svg","header":"Gynaecology","id":65},{"listLocation":"head-and-neck","icon":"004-head-neck-white.svg","header":"Head and Neck","id":66},{"listLocation":"breast-and-axilla","icon":"005-breast-white.svg","header":"Breast and Axilla","id":67},{"listLocation":"musculo-skeletal-joints-and-tendons","icon":"006-msk-joints-white.svg","header":"Musculoskeletal Joints and Tendons","id":68},{"listLocation":"musculo-skeletal-bone-muscle-nerves-and-other-soft-tissues","icon":"007-msk-bones-white.svg","header":"Musculoskeletal, bone, muscle, nerves and other soft tissues","id":69},{"listLocation":"thorax","icon":"008-thorax-white.svg","header":"Thorax","id":70},{"listLocation":"pediatrics","icon":"009-pediatrics-white.svg","header":"Pediatrics","id":71},{"listLocation":"peripheral-vessels","icon":"010-peripheral-vessels-white.svg","header":"Peripheral vessels","id":72}]