| Summary: | <p>Abstract</p> <p>Introduction</p> <p>Polyorchidism is defined as the presence of more than two testes. The management of this rare condition is still debatable, particularly when it is an incidental finding at surgery.</p> <p>Case presentation</p> <p>We present the case of an 8-year-old boy with triorchidism found incidentally during an elective orchidopexy. This supernumerary, ectopic and atrophic testis was removed to avoid an increased risk of malignancy.</p> <p>Conclusion</p> <p>Risk of malignancy justifies the removal of an atrophic and ectopic testis in triorchidism. However, it would appear safe to preserve a viable intrascrotal supernumerary testis found incidentally at surgery provided that the patient is followed up in the long term.</p>
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