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Scrotal sac leiomyoma: Case report of a rare benign scrotalmass Leiomyomas are benign mesenchymal tumors, the overwhelming majority of which are located in the uterus. Rare cases arise in other organs, including the scrotum, pelvis, bladder, and spermatic cord. This report evaluates the case of a 37-year-old man with a history of prior left inguinal hernia repair, who presented with a painless right scrotalmass. He first noticed the mass approximately 1 year prior to his initial visit (...) , and was completely separate from the testicle on ultrasound. Despite this, testicular malignancy was not entirely excluded as a diagnosis, although it was considered far less likely. The patient was definitively treated with surgical excision of the mass. Pathology of the surgical specimen confirmed diagnosis of leiomyoma, a rare scrotalmass.
Use of Diagnostic Laparoscopy for Identification of Bilateral Noncommunicating Hydroceles in an Infant with Right-Sided Abdominoscrotal Mass and Left-Sided ScrotalMass Infantile abdominoscrotal hydrocele (ASH) is a rare condition characterized by a dumbbell-shaped cystic mass extending from the scrotum to the abdomen. We present the case of a 4-month-old infant who presented with progressively enlarging bilateral scrotal swelling and a tense, ballotable right-sided abdominal mass (...) with extension into the scrotum. Scrotal ultrasound revealed bilateral hydroceles but exam and ultrasound could not rule out communication. At the time of planned hydrocelectomy, initial diagnostic laparoscopy was used to identify a massive right-sided ASH extending from the internal ring to the umbilicus and a large noncommunicating left-sided hydrocele that was visible with application of pressure to the left side of the scrotum. Following confirmation of anatomy with diagnostic laparoscopy, a scrotal
Sonographically indeterminate scrotalmasses: how MRI helps in characterization Magnetic resonance imaging (MRI) of the scrotum represents a useful supplemental imaging technique in the characterization of scrotalmasses, particularly recommended in cases of nondiagnostic ultrasonographic findings. An accurate characterization of the benign nature of scrotalmasses, including both intratesticular and paratesticular ones may improve patient management and decrease the number of unnecessary (...) radical surgical procedures. Alternative treatment strategies, including follow-up, lesion biopsy, tumor enucleation, or organ sparing surgery may be recommended. The aim of this pictorial review is to present how MRI helps in the characterization of sonographically indeterminate scrotalmasses and to emphasize the key MRI features of benign scrotalmasses.
Surgical excision of a large, verrucous, scrotalmass in a patient with HSV-2 and HIV-1 co-infection Genital herpes simplex virus (HSV) infection in HIV-positive individuals can result in a unique presentation of symptoms. Instead of small papules or vesicles that recur and heal periodically, certain individuals present with large, chronic, verrucous lesions. We report a case in which a 45 year old male with acyclovir-resistant HSV-2 and positive HIV-1 serology underwent surgical excision (...) of a verrucous mass on his left hemiscrotum.
Late-Onset Vitamin K Deficiency Presenting as Scrotal Bruising and Mediastinal Mass. Although there are several reports of intracranial hemorrhage associated with vitamin K deficient bleeding, there are few reported cases of extracranial manifestations, specifically involving the thymus. Here, we discuss the unique case of a 4-week-old infant presenting with scrotal discoloration, respiratory distress, and widened mediastinum, found to have thymic hemorrhage related to confirmed coagulopathy
Acute Onset of Scrotal Pain ? without Trauma, without Antecedent Mass Revised 2018 ACR Appropriateness Criteria ® 1 Acute Onset of Scrotal Pain American College of Radiology ACR Appropriateness Criteria ® Acute Onset of Scrotal Pain-Without Trauma, Without Antecedent Mass Variant 1: Adult or child. Acute onset of scrotal pain. Without trauma, without antecedent mass. Initial imaging. Procedure Appropriateness Category Relative Radiation Level US duplex Doppler scrotum Usually Appropriate O MRI (...) pelvis (scrotum) without and with IV contrast May Be Appropriate O Tc-99m scrotal scintigraphy Usually Not Appropriate ??? MRI pelvis (scrotum) without IV contrast Usually Not Appropriate O ACR Appropriateness Criteria ® 2 Acute Onset of Scrotal Pain ACUTE ONSET OF SCROTAL PAIN-WITHOUT TRAUMA, WITHOUT ANTECEDENT MASS Expert Panel on Urological Imaging: Carolyn L. Wang, MD a ; Barun Aryal, MD b ; Aytekin Oto, MD c ; Brian C. Allen, MD d ; Oguz Akin, MD e ; Lauren F. Alexander, MD f ; Dianna M. E
A 26-Year-Old Man From Mexico With Headaches, Dysuria, and a Right ScrotalMass. A 26-year-old man with no medical history was admitted to the hospital for evaluation of his change in mental status. He was noted to be agitated at work and had difficulty walking for 2 days before being brought in to the ED by his family. According to his uncle, the patient had been complaining of a headache and pain with urination for approximately 1 week. He was born in Guerrero, Mexico (a small farm town
ScrotalMassScrotalMass Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 ScrotalMassScrotalMass Aka: ScrotalMass , Scrotal Lesion (...) , Groin Mass , Inguinal Mass From Related Chapters II. Causes: Groin swelling ( ) Femoral or inguinal adenitis or adenopathy Femoral arterial aneurysm Hematoma Metastatic cancer Psoas abscess III. Causes: Skin Lesions See IV. Causes: Testicular or epididymis swelling See Acute and Tender Acute unilateral scrotal swelling and Pain not relieved with (unreliable) Associated with a high riding and or or Acute unilateral scrotal swelling and pain adjacent to and may be relieved with May be associated
opinion in narrative reviews Testicular torsion: diagnosis, evaluation and management [ ] , Evaluation of scrotalmasses [ ], and Epididymitis: an overview [ ]. This CKS topic covers identification of the causes of scrotal pain and swelling, and the primary care management of the common and/or important causes — suspected testicular cancer, suspected testicular torsion, suspected torsion of a testicular or epididymal appendage, epididymo-orchitis, indirect inguinal hernia, hydrocele, haematocele (...) , insensitive mass indistinguishable from a tumour). Filariasis. Henoch–Schönlein purpura. Kawasaki disease. Allergic contact dermatitis. Pancreatitis (owing to fluid tracking down the retroperitoneal compartment into the inguinal canal and scrotal sac). Complications of peritoneal dialysis and ventriculo-peritoneal shunts. Crohn's disease manifestations: erythema nodosum and pyoderma gangrenosum. Sarcoidosis. Metastases (mainly from penile lesions). Hidradenitis suppurativa. Congenital abnormalities
. Series of autoimmune antibody tests were negative. The postoperative pathologic findings showed that the mass was an epidermoid cyst, and hematoxylin and eosin staining showed hyperkeratosis of the skin as well as inflammatory and edematous changes. A diagnosis of a variant of FOT was made.We removed skin abscesses and lesioned the inner part with hydrogen peroxide. Then we performed an excision of the scrotal lesion.The patient recovered well and had no evidence of recurrence at a 16-month follow (...) Scrotal elephantiasis associated with follicular occlusion triad: A case report and literature review. Follicular occlusion triad (FOT) is an autosomal recessive inherited disease and no more than 3 variants of the triad have been reported. We give a report in which scrotal elephantiasis is a variant of FOT and further perform a literature review.A 41-year-old man came to us because of a large scrotal cyst and generalized skin lesions that had occurred over the past 10 years. The generalized
Scrotal migration of inguinal hernia repair mesh: an unusual cause of testicular massScrotalmasses are common findings in primary care and can develop from all anatomical structures of the scrotum. They are usually painless, although pain may be present occasionally. In this report, we present the case of an unusual testicular mass caused by the migration in the scrotum of a mesh used for inguinal hernia repair. The patient was treated conservatively owing to the spontaneous resolution
Leiomyosarcoma Presenting as a ScrotalMassScrotal leiomyosarcoma is a rare tumor arising from the dartos layer of the scrotum presenting as firm, rubbery, non-tender, irregular mass. To date about 37 cases of leiomyosarcoma of scrotum have so far been reported. Treatment involves wide surgical excision with tumor free margins. We report a case of scrotal leiomyosarcoma in a 48-year-old man which was treated by a wide surgical excision and follow up of 14 months showed no recurrence of tumor.
Congenital anterior urethral diverticulum presenting as a scrotalmass in a two-year-old child Here, we describe a case of congenital anterior urethral diverticulum (CAUD) in a two-year-old boy, who presented with right inguinoscrotal swelling that mimicked a spermatic cord cyst or hydrocele. Accurate diagnosis was made intraoperatively by retrograde urethrography. Open diverticulectomy and primary urethroplasty were performed for its management. The clinical presentation, diagnosis
Primary Paratesticular Lymphoma with Testicular Sparing: Account of an Unusual ScrotalMass Tumours of the testicular adnexa include a heterogeous group of mesothelial, mesenchymal and germ cell tumours. Adenomatoid tumour, pseudosarcomatous myofibroblastic proliferations and rhabdomyosarcoma are the more frequently encountered neoplasms. Lymphoma/leukemic infiltration secondary to testicular involvement or primary tumour elsewhere is not unusual. However, Primary Para-Testicular Lymphoma (PPTL
Scrotal Peripheral Primitive Neuroectodermal Tumor The peripheral primitive neuroectodermal tumor (pPNET) is a rare malignant tumor originating from neuroectoderm that usually occurs in children or adolescent and is frequently located in the extremities, chest cavity, pelvic cavity and chest wall. We present a rare case of an 84-year-old man with a history of pPNET in the scrotal sac, to our knowledge not previously published in the literature. The presence of a large irreducible mass (...) in the inguinal sac forced to exclude a tumor. Ultrasound and MRI are very useful modalities to assess the location of the mass, its dependency from any organ and the tumoral internal structure. Molecular imaging with the detection of EWS-FLI1 fusion transcripts is useful for the diagnosis and differential diagnosis of Ewing sarcoma/pPNETs.
Splenogonadal fusion - a rare cause of scrotal swelling: a case report Splenogonadal fusion is a rare and benign condition. Diagnosis is challenging for clinicians. Despite its indolence, diagnosis is often confirmed after orchidectomy. Surgery is mandatory, particularly to rule out the extremely rare association with malignancy.We report a case of splenogonadal fusion in a 38-year-old North African man presenting a palpable scrotalmass. We describe clinical aspects, pathogenic hypothesis (...) , radiological features, as well as surgical management principles.Splenogonadal fusion is rarely suspected and diagnosed preoperatively. A diagnosis is made once an ectopic testicular mass is associated with cryptorchidism and suggestive radiological signs. A better knowledge of the clinical and radiological features of splenogonadal fusion provides an opportunity for conservative surgery.
Scrotal Paragonimiasis in adults: Two case reports and review of literature. Paragonimiasis is a parasitic disease caused by Paragonimus in the lungs; it can be divided into intrapulmonary type and extrapulmonary type. Adult patients with scrotal paragnonimus are rarely seen clinically and not widely reported in the literature. Here, we report 2 cases of scrotal paragonimiasis in adults and their treatment process.Two young males sought medical advice because of scrotalmasses. Both patients (...) had the previous history of eating uncooked river crabs and presented with palpable quasicircular nodules of about 1.5 × 1.0 cm in testicles, which were well-defined, resilient in tenderness. The bilateral inguinal lymph nodes were not enlarged.The 2 patients underwent scrotalmass resection; postoperative pathology examination confirmed scrotum paragonimiasis. Both the patients were administered praziquantel after operation.They were followed up for 1 year and 4 years, respectively; both
Benign Scrotal Tumor in a Pediatric Patient: Epididymal Cyst A pediatric patient of 12 years consulted for a left scrotalmass of 2 months of evolution. After suspecting a cystic content due to positive transillumination, on ultrasonography a scrotal cyst separated from the testis, of 5 cm in its maximum length, was confirmed. Due to size, parental anxiety, and the referred short evolution, excision was decided. Given the clinical radiological findings, a scrotal incision was chosen, obtaining (...) complete excision. Biopsy confirmed the diagnosis of simple epididymal cyst (EC). ECs usually present as painless, scrotal swelling in adolescents as a result of dilatation of the efferent epididymal tubules. Many cases (up to 60%) regress spontaneously. In these, average time to involute ranges from 4 to 50 months. Although cases of cyst torsion have been described (with pain derived from ischemia and inflammation), conservative management has been suggested in the majority, both in pediatric