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Case 82: Polyorchidism with Torsion¹

¹ From the Department of Radiology, Long Island Jewish Medical Center, 270–05 76th Ave, New Hyde Park, NY 11040. Received April 9, 2003; revision requested June 20; final revision received September 23; accepted October 2. Address correspondence to S.H. (e-mail: sinchun_h@hotmail.com).

View larger version (129K): [in a new window]   Figure 1. Transverse color Doppler flow US image of the right side of the scrotum. There is normal blood flow in the right testis.

View larger version (144K): [in a new window]   Figure 2. Transverse color Doppler flow US image of the upper portion of the left side of the scrotum. Note the absent blood flow within the upper testis with moderate hydrocele (h).

View larger version (129K): [in a new window]   Figure 3. Transverse color Doppler flow US image of the lower portion of the left side of the scrotum. There is normal blood flow within the left lower testis.

View larger version (115K): [in a new window]   Figure 4. Sagittal US image of the left side of the scrotum. The epididymis (e) is seen between the two echogenic testes.

View larger version (142K): [in a new window]   Figure 5. Sagittal color Doppler US image of the left side of the scrotum. Note the absence of blood flow in the upper testis (left side of image) and epididymis (e) and presence of blood flow in the lower testis (right side of image).

View larger version (127K): [in a new window]   Figure 6. Intraoperative photograph of the two left testes. The duplicated upper testis had undergone torsion. There was a single epididymis; its head was attached to the upper testis, and it also had undergone torsion (white arrow). The remaining body and tail were continuous with the lower testis (black arrows).