Accessory scrotum: A rare congenital anomaly
Duygu Tatli Ucarci1
, Y. Doruk Bilgili2, Burçin Acuner3, Filiz Kutlu4, B. Haluk Güvenç1
1Department of Pediatric Surgery, Zonguldak Bülent Ecevit University Health Application and Research Center, Zonguldak, Türkiye
2Department of Pediatric Surgery, Bandırma Onyedi Eylül University, Balıkesir, Türkiye
3Department of Plastic and Reconstructive Surgery, Zonguldak Bülent Ecevit University Health Application and Research Center, Zonguldak, Türkiye
4Department of Pathology, Zonguldak Bülent Ecevit University Health Application and Research Center, Zonguldak, Türkiye
Keywords: Accessory scrotum, congenital anomaly, neonate.
Abstract
The accessory scrotum is the rarest form among the four types of congenital scrotal anomalies. The clinical presentation outlines the presence of scrotal skin outside its normal location, with no testis in it. Three patients (an eight-day-old, a 20-day-old, and a 111-day -old) attended our clinic with a patch of rugosity (1×1 cm, 6×4 cm, and 2.5×1.5 cm in size, respectively), mimicking scrotal tissue. In two cases, a perineal patch with rugosity was found overlying a mass resembling a lipoma. One patient presented with bilateral inguinal hernia and a patch of rugosity in the left inguinal region, with no underlying palpable swelling. Abdominal and regional ultrasonography did not reveal any abnormalities. Total excision was possible for all lesions, one of which needed an inguinal rotational flap, following bilateral herniotomy and high ligation. The postoperative course was uneventful. Histological investigation revealed rugose epidermidis, rudimentary dartos fibers, and hair follicles, confirming accessory scrotum.
• Presented as a poster at the 7th WOFAPS Congress, held on October 12-15, 2022, in Prague, Czech Republic.
Citation: Tatli Ucarci D, Bilgili YD, Acuner B, Kutlu F, Güvenç BH. Accessory scrotum: A rare congenital anomaly. Turkish J Ped Surg 2025;39(2):99-102. doi: 10.62114/ JTAPS.2025.57.