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Case Reports
. 2021;21(2):219-223.
doi: 10.24911/SJP.106-1597356690.

Accessory scrotum with perineal lipoma/hamartoma mimicking penoscrotal pseudoduplication

Paul Anthony Heaton  1 , Mohamed Sameh Shalaby  2 , Camelia Laura Vaina  1 , Sharon Elizabeth Brown  3 , Elise Gradhand  4 , Siba Prosad Paul  1
Affiliations
Case Reports

Accessory scrotum with perineal lipoma/hamartoma mimicking penoscrotal pseudoduplication

Paul Anthony Heaton et al. Sudan J Paediatr. 2021.

Abstract

Congenital anomalies of the scrotum are thought to be caused by an abnormal migration of the labioscrotal swelling during the embryological process. We report the case of an infant in whom suspected penoscrotal pseudoduplication was apparent at delivery. Imaging using ultrasound scan and magnetic resonance imaging allowed anatomical delineation of the abnormality and the appropriate surgical intervention to be determined. Full surgical correction was done at 4 weeks of age with good outcome. We discuss the differential diagnosis and the management of congenital scrotal abnormalities.

Keywords: Diagnostic dilemma; Penoscrotal pseudoduplication; Perineal lipoma/hamartoma; Sacrococcygeal teratoma.

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Figures

Figure 1.
Figure 1.
Appearance immediately after birth.
Figure 2.
Figure 2.
Longitudinal ultrasound scan showing homogenous hyperechogenicity consistent with fatty tissue.
Figure 3.
Figure 3.
Pelvic MRI scan (A) sagittal and (B) coronal post-contrast fat saturated T1 weighted images showing homogenously low (saturated) signal suggestive of fat. No solid or enhancing elements.
Figure 4.
Figure 4.
Histology showing features of perineal fibrolipoma/lipoma. (A) Haematoxylin and eosin (H+E) stain×2, (B) H+E stain×10.
See this image and copyright information in PMC

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