Abstract
Abstract Aim One of the most common benign mass of the spermatic cord is lipoma. More rare are the fibrous tumors described as painless, very mobile extra-testicular tumors, which are called “scrotal mouse”; can accompany inguino-scrotal hernias and sometimes mimicking hernia. Method We report a case of a 73 years old male, with no previous medical history, presented to our department with a right large inguino-scrotal hernia. Intraoperatively, we traced the cord into the scrotum and noticed the presence of a mobile tumor, attached to the cord, having 10/5 cm in size. We dissected and excised it. The testicle and cord structures were normal. Also, an indirect hernia sac was ligated and we performed a modified Lichtenstein procedure. The postoperative evolution was uneventful and patient discharged next day. Histopathology shows the diagnosis of a fibroid tumor. Follow-up did not show any recurrence. Conclusion Fibroid tumors arising from the cord are poorly defined. Differential diagnosis with vascular, infectious/inflammatory and lipoma should be made. Malignancies should be ruled out. Also we raise the idea that large lipomas found in hernia cure should be excised and further examined.
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