Fibrous Pseudotumor of Para Testicular Region; A Rare Clinical Entity

Abstract

Background Para testicular pseudotumor is a rare benign tumour originating most commonly from tunica vaginalis, less commonly from tunica albuginea, epididymis, and the spermatic cord. Case Presentation We present a case of a 27- year old Asian male patient who presented with painless palpable mass in the left hemiscrotum. Scrotal ultrasonography showed well-defined lobulated solid left Para testicular lesion closely related to the tunica/epididymis with specks of calcification within the lesion. Scrotal exploration and excision of the tumour was performed. Histopathology Findings revealed fibrous pseudotumor. Conclusion Para testicular fibrous pseudotumor is a rare clinical entity in young adults, scrotal swelling mimics testicular tumour. Preoperative diagnosis is a pitfall. Histopathology is the only way to establish diagnosis. Keywords: Para testicular; Tumors; Surgical exploration; Orchiectomy.