DUYGU TATLİ UCARCİ, Y DORUK BİLGİLİ, BURÇİN ACUNER, FİLİZ KUTLU, B HALUK GÜVENÇ
Turkish Journal of Pediatric Surgery - 2025;39(2):99-102
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.
