Polyorchidism, the presence of more than two testes is a very rare anomaly. Aproximately 100 cases reported in the literature until now. We report the Color Doppler Ultrasonography and Magnetic Resonance Imaging Findings of a case of 20-year-old man with polyorchidism, presenting with an asymptomatic scrotal mass. Scrotal examination revealed a firm, mobile extratesticular lumps in the left side of the scrotum.
Ultrasonography showed double testes with double separate epididymides sharing a
common vas deferens in the left side of the scrotum. It demonstrated similar echo texture and vascular flow as the normal testis, but smaller in size.Magnetic Resonance Imaging showed three testes very clearly and confirmed the diagnoses. The case was managed conservatively under regular radiological follow-up with Ultrasonography.