Open Access

RESIDENT’S CORNER

Clinical challenges of scrotal lymphangioma in an adult: a rare case of scrotal swelling

Justin Loloi¹, Mustufa Babar², Umair Azhar², Jinrong Cheng³, Amanda North^1,2

1 Department of Urology, Montefiore Medical Center, Bronx, New York, USA
2 Albert Einstein College of Medicine, Bronx, New York, USA
3 Department of Pathology, Montefiore Medical Center, Bronx, New York, USA
Address correspondence to Dr. Amanda North, Department of Urology, Montefiore Medical Center, Albert Einstein College of Medicine, 1250 Waters Place, Bronx, NY10461 USA

Canadian Journal of Urology 2022, 29(4), 11262-11265.

Abstract

Scrotal lymphangiomas represent an extremely rare cause of scrotal swelling. We report a case of scrotal lymphangioma in an 18-year-old male who presented with painful scrotal swelling. Scrotal ultrasound revealed a complex multicystic structure in the left hemiscrotum. The patient underwent successful surgical excision of the mass. Postoperatively, he developed a hydrocele which eventually spontaneously regressed. Histopathology confirmed the diagnosis. We outline the unusual presentation, characteristic imaging and histology findings, and surgical management of scrotal lymphangiomas. With this information, urologists may exercise a heightened level of awareness for this rare cause of scrotal swelling.

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