Large Primary Scrotal Lipoma in a Young Nigerian: A Case Report with Review of Literature

Abstract

Background: Primary scrotal lipoma is a very rare clinical entity where tumour of mature adipocytes arise from the subcutaneous tissue of scrotal sac.  Accurate clinical diagnosis is important to exclude possible differential diagnosis.

Materials and Methods: Case Report with Review of Literature

Results: We report a case of bilateral primary lipoma in a 21year old Nigerian which initially posed a diagnostic dilemma due to its similarity with the testes, both in size, shape and appearance on ultrasound scan. Diagnosis was then made with the aid of Magnetic resonance imaging and the patient was managed with surgical excision and biopsy with no resultant post op complication. It is therefore recommended that for proper evaluation of patients with scrotal masses, radiological imaging modalities as well as histology are useful in aiding diagnosis.