Supernumerary testis: Imaging appearance of a rare entity
A 52-year-old gentleman, suffering from chronic kidney disease presented to our hospital with the complaint of abdominal distension. During the course of clinical examination, a painless extratesticular solid lump was detected. The patient was aware of this lump since childhood but had not sought medical advice since it was small, painless and not growing. Scrotal sonography revealed presence of two testis like structures in the left hemiscrotum and a normal testis on the right side []. Each of the left testes was smaller than the right sided normal testis and showed normal echotexture and vascularity. The rete testis of one of these testes was prominent []. Each of these left sided testis had an independent epididymis and a common vas deferens draining both the testes. Gross scrotal wall edema was also present, secondary to chronic kidney disease along with gross ascites, which was responsible for abdominal distension.\nMagnetic resonance imaging (MRI) of the scrotum confirmed the presence of two testis-like structures in the left half of scrotum with signal intensities identical to the right testis []. Both these structures showed a surrounding tunica albuginea, existence of independent epididymis and a common vas deferens in agreement with the ultrasound findings. Presence of prominent rete testis in one of the testicle and scrotal wall edema was confirmed.\nAfter confirmation of the diagnosis of supernumerary testis without evidence of any complication, no treatment was offered.