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Tocchioni F, Caporalini C, Buccoliero A, Facchini F, Ghionzoli M, Morini F. Case Report: Congenital Perineal Lipoma Associated With Additional External Genitalia Anomalies. Front Pediatr 2022; 10:923801. [PMID: 35844732 PMCID: PMC9279900 DOI: 10.3389/fped.2022.923801] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Accepted: 06/08/2022] [Indexed: 12/26/2022] Open
Abstract
Perineal lipoma is an uncommon congenital benign tumor sometimes associated with genitourinary or anorectal malformations. Accessory scrotum and accessory labioscrotal fold are infrequent features, often concurrent with perineal tumors. We describe a single institution experience with three consecutive cases of perineal lipoma associated with external genital anomalies, and a literature review.
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Affiliation(s)
- Francesca Tocchioni
- Department of Pediatric and Neonatal Surgery, Meyer Children's Hospital, Florence, Italy
| | - Chiara Caporalini
- Pathology Unit, Meyer Children's Hospital, University of Florence, Florence, Italy
| | - Annamaria Buccoliero
- Pathology Unit, Meyer Children's Hospital, University of Florence, Florence, Italy
| | - Flavio Facchini
- Department of Pediatric and Neonatal Surgery, Meyer Children's Hospital, Florence, Italy
| | - Marco Ghionzoli
- Department of Pediatric and Neonatal Surgery, Meyer Children's Hospital, Florence, Italy
| | - Francesco Morini
- Department of Pediatric and Neonatal Surgery, Meyer Children's Hospital, Florence, Italy
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Uscilowska E, Abbes Orabi N, Léonard D, Mourin-Jouret A, Libbrecht L, Trefois P, Denis MA, Bachmann R, Remue C, Kartheuser A. Para-anal lipoma as a rare consequence to perineal trauma. Case-report and review of the literature. Acta Chir Belg 2019; 119:390-395. [PMID: 29734868 DOI: 10.1080/00015458.2018.1470292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Introduction: Lipomas are the most common benign mesenchymal tumors which can be found in any part of the body. Nevertheless, their etiology and pathogenesis remain unknown. It is hypothesized that some of these lesions could result from an acute or chronic trauma. Patients and methods: We report a case of a 54-year-old man presenting a perineal lipoma which volume grew rapidly after he fell on his buttock, in the context of inaugural epileptic seizure. Pelvic MRI showed a voluminous fatty mass, measuring 6.6 × 5 × 9 cm without any signs of local invasion. Furthermore, we review the latest research on lipomas originating from traumatic lesion. Results: The mass was completely excised in one block under general anesthaesia, using an elliptical incision and a deep dissection. We did not close the skin incision in view of the cutaneous defect. Post-operative recovery was uneventful and the patient was discharged from hospital two days after the operation. Histopathology indicated a reorganised lipoma with no evidence of malignancy. Conclusion: Perineal lipomas are extremely rare, pathological examination of imaging guided biopsies are needed to exclude malignancy especially a well-differentiated liposarcoma. MRI remains the first option and radical surgical excision is the gold standard treatment.
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Affiliation(s)
- Ewelina Uscilowska
- Colorectal Surgery Unit, Department of Abdominal Surgery and Transplantation, Cliniques universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium
| | - Nora Abbes Orabi
- Colorectal Surgery Unit, Department of Abdominal Surgery and Transplantation, Cliniques universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium
- Cliniques des Pathologies Tumorales du Colon et de Rectum (CPTCR), Institut Roi Albert II, Cliniques universitaires Saint Luc, Brussels, Belgium
- Department of Visceral Surgery, CHR Mons-Hainaut, Mons, Belgium
| | - Daniel Léonard
- Colorectal Surgery Unit, Department of Abdominal Surgery and Transplantation, Cliniques universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium
- Cliniques des Pathologies Tumorales du Colon et de Rectum (CPTCR), Institut Roi Albert II, Cliniques universitaires Saint Luc, Brussels, Belgium
| | - Anne Mourin-Jouret
- Cliniques des Pathologies Tumorales du Colon et de Rectum (CPTCR), Institut Roi Albert II, Cliniques universitaires Saint Luc, Brussels, Belgium
- Department of Pathology, Cliniques universitaires Saint-Luc, UCL, Brussels, Belgium
| | - Louis Libbrecht
- Department of Pathology, Cliniques universitaires Saint-Luc, UCL, Brussels, Belgium
| | - Pierre Trefois
- Cliniques des Pathologies Tumorales du Colon et de Rectum (CPTCR), Institut Roi Albert II, Cliniques universitaires Saint Luc, Brussels, Belgium
- Department of Radiology, Cliniques universitaires Saint-Luc, Brussels, Belgium
| | - Marie-Armelle Denis
- Cliniques des Pathologies Tumorales du Colon et de Rectum (CPTCR), Institut Roi Albert II, Cliniques universitaires Saint Luc, Brussels, Belgium
- Department of Hepatogastroenterology, Cliniques universitaires Saint-Luc, Brussels, Belgium
| | - Radu Bachmann
- Colorectal Surgery Unit, Department of Abdominal Surgery and Transplantation, Cliniques universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium
- Cliniques des Pathologies Tumorales du Colon et de Rectum (CPTCR), Institut Roi Albert II, Cliniques universitaires Saint Luc, Brussels, Belgium
| | - Christophe Remue
- Colorectal Surgery Unit, Department of Abdominal Surgery and Transplantation, Cliniques universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium
- Cliniques des Pathologies Tumorales du Colon et de Rectum (CPTCR), Institut Roi Albert II, Cliniques universitaires Saint Luc, Brussels, Belgium
| | - Alex Kartheuser
- Colorectal Surgery Unit, Department of Abdominal Surgery and Transplantation, Cliniques universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium
- Cliniques des Pathologies Tumorales du Colon et de Rectum (CPTCR), Institut Roi Albert II, Cliniques universitaires Saint Luc, Brussels, Belgium
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The Utility of Magnetic Resonance Imaging in the Evaluation of Accessory Scrotum in the Newborn. Urology 2016; 99:228-230. [PMID: 27318263 DOI: 10.1016/j.urology.2016.06.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2016] [Revised: 05/26/2016] [Accepted: 06/09/2016] [Indexed: 11/23/2022]
Abstract
Accessory scrotum, a rare form of congenital scrotal anomaly that is often associated with other genitourinary and anorectal anomalies, is characterized by ectopic scrotal tissue in the presence of a normal, orthotopic scrotum. Here, we present a case of accessory scrotum in a newborn male. We describe our experience with the utilization of preoperative pelvic magnetic resonance imaging to characterize the complex relationship between the accessory scrotum and ano-sphincteric complex, as well as identify associated genitourinary abnormalities. We also provide a brief literature review.
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Lee JI, Jung HG. Perineal accessory scrotum with a lipomatous hamartoma in an adult male. JOURNAL OF THE KOREAN SURGICAL SOCIETY 2013; 85:305-8. [PMID: 24368990 PMCID: PMC3868684 DOI: 10.4174/jkss.2013.85.6.305] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/08/2013] [Revised: 06/28/2013] [Accepted: 07/09/2013] [Indexed: 11/30/2022]
Abstract
Accessory scrotum is a rare congenital anomaly that is often associated with perineal tumor or other developmental abnormalities. Because most cases are diagnosed and treated in early childhood, little is known about the natural biologic course of this entity and associated lesions through time. We present a case of accessory scrotum associated with lipomatous hamartoma in a 46-year-old man who was born with a perineal mass. We evaluate the clinicopathologic features and discuss the pathogenesis with a review of the literature.
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Affiliation(s)
- Jong Im Lee
- Department of Pathology, Dongguk University College of Medicine, Gyeongju, Korea
| | - Ho Geun Jung
- Department of Surgery, Dongguk University College of Medicine, Gyeongju, Korea
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Abstract
Perineal lipomas are uncommon congenital anomalies. They mainly develop in male patients with an accessory scrotum, posterior to the original scrotum. However, on rare occasions, these lipomas can occur in female patients with an accessory labioscrotal fold. We report on three such cases, where the lipomas were found in the anterior part of the right side of the labia majora. None had other anomalies, with the exception of one who had premature growth of pubic hair on the accessory labioscrotal fold. Skin with a rugated scrotal appearance was present in all cases.
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Affiliation(s)
- Toshiaki Numajiri
- Department of Plastic and Reconstructive Surgery, Kyoto Prefectural University of Medicine, Kamigyoku, Kyoto, Japan.
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Abstract
OBJECTIVE To analyse the characteristics of the perineal lipoma and speculate on its development, as an associated perineal lipoma is implicated in the occurrence of scrotal anomalies in children. PATIENTS AND METHODS Five children with a perineal lipoma in association with various scrotal anomalies were included in the study. We analysed the types of scrotal anomalies and their anatomical relationship with the perineal lipomas. RESULTS One child had a supra-inguinal ectopic scrotum, and the others had penoscrotal transposition, either symmetrical or asymmetrical; they included two who had an accessory scrotum combined with a perineal lipoma. The perineal lipoma was on the ipsilateral side of the upward-positioned hemiscrotum in the ectopic scrotum or the asymmetrical penoscrotal transposition, or it was on the mid-perineum in the symmetrical penoscrotal transposition. CONCLUSIONS The perineal lipoma can be found combined with various scrotal anomalies, including ectopic scrotum as well as an accessory scrotum or penoscrotal transposition; this is the first report describing a perineal lipoma associated with an ectopic scrotum. We speculate that the development of the perineal lipoma is closely related to scrotal anomalies, which result from early division and/or abnormal migration of the labioscrotal swelling. The concomitant perineal lipoma might be formed during the process, and might affect abnormal scrotal development.
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Affiliation(s)
- Kwan H Park
- Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
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Abstract
Accessory scrotum is very uncommon. Here we report a 5-year old Caucasian boy presenting with an accessory scrotum localized to the left side of the pubic area. The penis and the primary scrotum were completely normal, containing two dependent testicles. On the right side of the body there was type B proximal femoral focal deficiency and there was also diastasis of the symphisis pubis. As observed in this case, abnormalities of two different embryological organ systems (accessory labioscrotal fold and proximal femoral focal deficiency) may occur concurrently at the same intrauterine time point as part of an overall embryologic mesenchymal disorder.
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Affiliation(s)
- Muammer Kendirci
- 2nd Urology Department, Sisli Etfal Training and Research Hospital, Istanbul, Turkey.
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