Abstract
We report the case of a 28-year-old man who presented at the emergency department with recent left painful scrotal swelling, without history of genitourinary infection or trauma. On physical examination, left scrotal swelling with nodular palpation was noted. Contrast enhanced sonography demonstrated nodular vascularized thickening of the tunica vaginalis. Surgical exploration revealed multiples solid nodules of the vaginal wall, with, at frozen section analysis, fibroblastic tissue, vessels and chronic inflammation without malignity, suggestive of fibrous pseudotumor of the tunica vaginalis. We discuss the sonographic aspect of this rare entity and the difficulty to establish a diagno- sis of benignity without surgical exploration.
Highlights
We report the case of a 28-year-old man who presented at the emergency department with recent left painful scrotal swelling, without history of genitourinary infection or trauma
Scrotal fibrous pseudotumor is a rare tumor characterized by benign reactive fibroinflammatory tissue involving the paratesticular space, most frequently the tunica vaginalis (76%), less often the epididymis (10%), the tunica albuginea or the spermatic cord [1]
A 28-year-old man presented at the emergency department with recent left painful scrotal swelling
Summary
Scrotal fibrous pseudotumor is a rare tumor characterized by benign reactive fibroinflammatory tissue involving the paratesticular space, most frequently the tunica vaginalis (76%), less often the epididymis (10%), the tunica albuginea or the spermatic cord [1]. Scrotal ultrasound (US) performed with a 9 MHz linear probe (Acuson S2000TM system from Siemens Medical Solutions) showed a multinodular, mild echoic, thickening of the tunica vaginalis (1,6 mm) associated with moderate anechoic hydrocele and normal testicle (Fig. 1A). Bmode ultrasound of the left scrotum showing multinodular thickening of the tunica vaginalis, surrounded by anechoic hydrocèle and normal testicle.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: JBR-BTR : organe de la Societe royale belge de radiologie (SRBR) = orgaan van de Koninklijke Belgische Vereniging voor Radiologie (KBVR)
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
