Giant primary scrotal lipoma in a low-resource setting: challenges with diagnosis and review of literature
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Date
2021
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JSCR
Abstract
Lipoma is the commonest benign mesenchymal tumor composed of matured adipocytes. A literature search revealed few
reported cases of giant scrotal lipoma. This article aims to report a giant scrotal lipoma weighing 1100 g and illustrate our
challenges with the diagnostic process in a low-resource setting. A 28-year-old male presented with a huge right scrotal
mass. Examination revealed the mass had no cough impulse. It was firm, non-tender and lobulated, with definite edges.
Scrotal sonography was suspicious of lipoma. Intraoperatively, there was an encapsulated scrotal wall mass and an incidental
inguinoscrotal hernia, content being the omentum. The scrotal mass was excised, hernia sac was ligated, and excised and the
posterior wall was repaired. Histology confirmed the scrotal mass as a lipoma. Primary scrotal lipomas are rare but should
be considered in the differential diagnosis of unusual scrotal masses. Ultrasonography is a useful diagnostic tool in resource limited setting
Description
This article is Published by JSCR and is also available at https://doi.org/10.1093/jscr/rjab398
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Citation
Journal of Surgical Case Reports, 2021;9, 1–3