A Rare Case of Newborn with Accessory Scrotum Associated with Bifid Scrotum and Perineal Lipoma

Enrica Rossi

doi:10.15226/2381-2915/3/1/00120

Abstract

We report a case of bifid scrotum with accessory scrotum and peduncular lipoma in perineal region occurring in a full-term male neonate. Physical examination showed two soft perineal masses located between a bifid scrotum and the anus. No abnormalities of anus were detected. The patient underwent ultrasound and magnetic resonance examinations confirming a homogeneous fat tissue matter of the posterior mass and showing fluid content inside the anterior one. The patient also underwent a Gastrografin enema and no analcolon anomalies were detected. The masses were completely excised and the histological examination revealed a lipoma, with tissue suggestive of scrotum, so a definite diagnosis of accessory scrotum, associated with lipoma was made. You can submit your Manuscripts at: https://symbiosisonlinepublishing.com/submitManuscript.php

Highlights

We report a rare case of accessory scrotum (AS) with peduncular lipoma
Neonates presenting with perineal masses are uncommon
There are very few cases recorded in literature with genital abnormalities presenting perineal masses [1]

Summary

Introduction

We report a rare case of accessory scrotum (AS) with peduncular lipoma. AS is the least frequent perineal abnormality, with only 43 cases reported in the English literature [1]. AS is characterized by additional scrotal tissue lacking a testis, besides a normally developed scrotum.

Case report

Discussion

Figure 2