Abstract
The authors present a case study of polyorchidism in a young adolescent. Polyorchidism is a rare occurrence but may be discovered with greater frequency due to the widespread use of sonography. Sonographers should be aware of the clinical symptoms, sonographic presentations, and advantages of sonography over other modalities or more invasive means of diagnosis. Polyorchidism is the rare presence of one or more additional testes. The supernumerary (additional) testis may appear in a variety of ways to include its development and location. According to some theories, the development of the super-numerary testis is dependent on which division occurs during the embryonic stage. The discovery of polyorchidism is usually an incidental finding during inguinal hernia repairs and other imaging modalities, but with the use of color Doppler, power Doppler, and various imaging planes, sonography is the modality of choice to assist in the diagnosis.