Abstract

A case of accessory scrotum in a 1-year-old boy is reported because of its rarity. A boy presented with a tumor mass attached with scrotum-like skin on its tip in the right side of perineum between the scrotum and anus. Both testes had descended into the scrotum. There was no other urological anomaly. Histological findings of the tumor indicated perineal lipoma, and the scrotum-like portion accessory scrotum. An overview of sequences during the normal development of male external genitalia has been provided and the deranged mechanism resulting in this anomaly has been reviewed with hypothesis regarding etiology of accessory scrotum.

Highlights

  • Accessory scrotum is considered the rarest of all congenital scrotal abnormalities [1]

  • Congenital scrotal anomalies are conventionally classified into four types: bifid scrotum, penoscrotal transposition, ectopic scrotum, and accessory scrotum

  • In cases of penoscrotal transposition, part or whole of the scrotum is located superior to the penile shaft

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Summary

Case Report

A case of accessory scrotum in a 1-year-old boy is reported because of its rarity. A boy presented with a tumor mass attached with scrotum-like skin on its tip in the right side of perineum between the scrotum and anus. Both testes had descended into the scrotum. Histological findings of the tumor indicated perineal lipoma, and the scrotumlike portion accessory scrotum. An overview of sequences during the normal development of male external genitalia has been provided and the deranged mechanism resulting in this anomaly has been reviewed with hypothesis regarding etiology of accessory scrotum

Introduction
Discussion
Case Reports in Pediatrics

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