Primary scrotal lipoma in a pediatric patient: a case report with current literature review

Backgrounds Primary scrotal lipomas are benign fatty tumors that develop from adipocytes of the scrotum. The exact cause of their development is unknown. They are typically painless and may exhibit symptoms of heaviness and discomfort. Case presentation A 9-year-old boy presented with a painless scr...

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Bibliographic Details
Published in:African journal of urology 2023-12, Vol.29 (1), p.61-6, Article 61
Main Authors: Hussein, Zhino Noori, Bapir, Rawa, Ali, Rawa M., Aghaways, Esmaeel, Hama, Nali H., Rashid, Rezheen J., Sabr, Wirya N., Abdullah, Ari M., Najmadden, Zana Baqi, Abdalla, Berun A., Kakamad, Fahmi Hussein, Abdulkareem, Dashty Anwar
Format: Article
Language:English
Subjects:
Adipocytes
Age groups
Body fat
Case Reports
Children
Connective tissue tumors
Development and progression
Health aspects
Imaging
Intrascrotal swelling
Liposarcoma
Literature reviews
Medicine
Medicine & Public Health
Pain
Paratesticular mass
Patients
Pediatrics
Radiology
Scrotum
Surgery
Testes
Urology
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Summary:Backgrounds Primary scrotal lipomas are benign fatty tumors that develop from adipocytes of the scrotum. The exact cause of their development is unknown. They are typically painless and may exhibit symptoms of heaviness and discomfort. Case presentation A 9-year-old boy presented with a painless scrotal mass that had been present since birth. The mass was located in the left hemiscrotum. Ultrasound showed an enlarged left testicle with an abnormal outline and heterogeneous texture. Magnetic resonance imaging demonstrated a mass arising from the left hemiscrotum with no invasion of the testis. Under general anesthesia and through a scrotal incision, the mass was excised. Histopathological examination revealed a lipoma. Conclusion Primary scrotal lipomas are benign lesions with an unclear pathogenesis. They are very uncommon in the pediatric age group. Ultrasound is the first-line modality for diagnosing lipomas; however, it may provide ambiguity. MRI provides a more accurate assessment of the mass. Surgical excision of the mass is the standard treatment for primary scrotal lipomas.
ISSN:1961-9987
1110-5704
1961-9987
DOI:10.1186/s12301-023-00391-1