An unusual localization of lipomas: an extremely rare case of two symmetrical perineal lipomas in an adult male patient: a case report

Abstract

Lipomas in adults are not unusual, but a symmetrical localization in the perineal region, as seen in our patient, has not been reported before. A few authors described extremely rare cases of an accessory scrotum or an accessory labioscrotal fold associated with perineal lipoma in the past. However, our patient had two symmetrical perineal lipomas of similar size in association with absolutely normal male genitalia. The etiology of these abnormal masses is not clear. We performed a complete excision of the lipomas with an elliptical skin excision, leaving a central perineal portion of skin and subcutaneous tissue. The final scar was rotated in such a way as to be placed in the gluteal fold. Gross and microscopic examination of the surgical specimen revealed two lipomas. To our knowledge, this is the first case of such lipomas in this location reported in the literature.