Bilateral Enlarged Testes: A Case Report




Ly, Connie
Spore, Paul
Matthews, Joel
West, Lauren
Fisher, Cara


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During a routine cadaver dissection, a 76-year old male presented with bilateral enlarged testes. The right testis in this case report was measured at 10 cm and the left testis was measured at 11 cm, both nearly five times the size of an average male testis. Removal of the outer layers of the scrotum revealed solidified green, yellow, and grayish purulent exudate surrounding both testes between the layers of the parietal and visceral tunica vaginalis. While the testes showed some similarities, the presentation of both testis also differed greatly. The left testis was easily compressible and had a large varicocele, while the right testis was turgid and, when dissected, contained a large hematoma. Furthermore, the inferior pole of the left testis had extensive fibrous scarring and epididymal-testis junction and the anterior surface of left testis had two small nodules protruding from the tunica albuginea. In addition to the findings within the reproductive system, an indirect inguinal hernia was identified within the right spermatic cord. The cadaver did not have any documented history of sexually transmitted infection or testicular torsion. He did, however, have a history of benign prostatic hyperplasia without lower urinary tract symptoms. We believe the cause of the bilateral enlarged testes were from two different sources rather than a single disease or incident, due to the stark differences between the two. This case report attempts to further the understanding of the causes of enlarged testes and the relationship between gastrointestinal and reproductive disorders.