What question did this study set out to answer?

To report rare cases of accessory scrotum, a congenital anomaly, and examine clinical presentations and surgical outcomes.

March 28, 2026Open Access

Accessory scrotum: A rare congenital anomaly

Puntos clave

To report rare cases of accessory scrotum, a congenital anomaly, and examine clinical presentations and surgical outcomes.
Case reports of three patients aged 8 to 111 days
Clinical examination of scrotal skin abnormalities
Ultrasonography to investigate underlying conditions
Surgical excision of lesions, with one requiring an inguinal flap
All patients exhibited patches of rugosity resembling scrotal tissue
One patient had a bilateral inguinal hernia alongside the anomaly
Histological analysis confirmed the diagnosis of accessory scrotum
Postoperative recovery was uneventful for all cases

Resumen

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.

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