July 2011

Patient with 3 testicles ???

Clinical Info

3 palpable structures within the scrotum

Ultrasound Images & Clips

3 scrotal structures

Transverse image showing 3 scrotal structures
Transverse image showing 3 scrotal structures
Another extended field of view image showing 3 identical looking structures
Another extended field of view image showing 3 identical looking structures
Longitudinal image of a normal left testis
Longitudinal image of a normal left testis
Longitudinal image of a normal right 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
Longitudinal image of the structure next to the right testis.
The structure is vascularized
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 structure next to the right testis
Transverse image of the scrotum. The structure on the right side has an echogenicity that is slightly higher than the 2 normal testes.
Transverse image of the scrotum. The structure on the right side has an echogenicity that is slightly higher than the 2 normal testes.

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

  • Hitachi Ultrasound System