Polyorchidism and torsion. A lesson from 2 cases

Fabio Ferro, Barbara Iacobelli

Research output: Contribution to journalArticlepeer-review


Two cases of polyorchidism with 2 left scrotal testes are referred. In both patients, the segmented gonads showed a "bell clapper" deformity. In the first patient, the contralateral gonad also presented a large mesorchium and absence of scrotal ligament, whereas in the second case, the right gonad was firmly adhered to the tunica vaginalis because of a previous appendix testis torsion. Orchidopexy of all testes, judged at risk for torsion, was performed. Contrary to what is recommended by recent literature, we consider scrotal exploration and testis fixation mandatory of the contralateral, apparently normal gonad as well, even in the absence of clinical and ultrasound signs of associated abnormalities or complications.

Original languageEnglish
Pages (from-to)1662-1664
Number of pages3
JournalJournal of Pediatric Surgery
Issue number10
Publication statusPublished - Oct 2005


  • Gonads
  • Polyorchidism
  • Testicular torsion

ASJC Scopus subject areas

  • Surgery


Dive into the research topics of 'Polyorchidism and torsion. A lesson from 2 cases'. Together they form a unique fingerprint.

Cite this