Two Cases of Congenital Scrotal Anomalies: Ectopic Scrotum, Accessory Scrotum

Lee, Chung Bum; Back, Chol Jong; In, Byung Ha; Cho, Dae Haeng

Abstract

The three major scrotal anomalies are bifid scrotum, penoscrotal transposition, and ectopic or accessory scrotum. Bifid scrotum occurs if the genital swellings fail to fuse at the scrotal septum. Penoscrotal transposition results from abnormal genital tubercle development. This is associated with delay in the midline fusion of the urethral folds. Ectopic and accessory scrotum result from cleavage or abnormal migration of the genital swellings. Ectopic scrotum is extremely rare. His right scrotum was normal in position and size, and contained a normal palpable testis. The penis was showed externally normal appearance. At operation it was possible to excise the scrotal wall, preserving the vas deferens and the testicular vessels. Accessory scrotum has not been recorded in Korea. We experienced a case of unilateral ectopic scrotum and a case of accessory scrotum.