Korean J Urol.  2007 Oct;48(10):1096-1098. 10.4111/kju.2007.48.10.1096.

Accessory Scrotum Associated with a Perineal Lipoma

Affiliations
  • 1Department of Urology, School of Medicine, Hallym University, Seoul, Korea. shleeuro@hallym.ac.kr
  • 2Department of Radiology, School of Medicine, Hallym University, Seoul, Korea.
  • 3Department of Pathology, School of Medicine, Hallym University, Seoul, Korea.

Abstract

The presence of accessory scrotum is a condition characterized by additional scrotal tissue with a normally developed scrotum. The condition is extremely rare and can be associated with a perineal lipoma. Herein, a case of accessory scrotum associated with a perineal lipoma is reported in a 4-day-old boy. He presented with a perineal mass and the diagnosis was confirmed by surgical excision and subsequent histological analysis. This is the first Korean report of an accessory scrotum associated with perineal lipoma. (Korean J Urol 2007;48:1096-1098)

Keyword

Scrotum; Lipoma; Perineum

MeSH Terms

Diagnosis
Humans
Lipoma*
Male
Perineum
Scrotum*

Figure

  • Fig. 1 Gross appearance of the accessory scrotum (S) associated with a perineal lipoma (L).

  • Fig. 2 Magnetic resonance imaging demonstrated a perineal lipoma (L) with similar signal intensity to subcutaneous fat on the T1-weighted image (A) and decreased signal intensity on the T1-weighted fat suppression image (B).

  • Fig. 3 The perineal mass reveals mature fat cells consisting of varying sizes and shapes of cells (A) (H&E, ×100) and the overlying skin of the mass reveals bundles of muscle fibers in the dermis (B) (H&E, ×200).


Reference

1. Park KH, Hong JH. Perineal lipoma in association with scrotal anomalies in children. BJU Int. 2006. 98:409–412.
2. Sule JD, Skoog SJ, Tank ES. Perineal lipoma and the accessory labioscrotal fold: an etiological relationship. J Urol. 1994. 151:475–477.
3. Lee CB, Back CJ, In BH, Cho DH. Two cases of congenital scrotal anomalies: ectopic scrotum, accessory scrotum. Korean J Urol. 2001. 42:450–452.
4. Lamm DL, Kaplan GW. Accessory and ectopic scrota. Urology. 1977. 9:149–153.
5. Takayasu H, Ueno A, Tsukada O. Accessory scrotum: a case report. J Urol. 1974. 112:826–827.
6. Yokokawa K, Nakano E, Takaha M. Accessory scrotum: a case report. J Urol. 1986. 135:593–594.
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