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Mbwambo OJ, Pallangyo A, Mbwambo JS, Bright F, Mteta AK, Bogdanowicz J, Ngowi BN. Primary scrotal lipoma posing a diagnostic quandary: Experience from northern Tanzania, a case report. Clin Case Rep 2023; 11:e7503. [PMID: 37323280 PMCID: PMC10264745 DOI: 10.1002/ccr3.7503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Revised: 05/06/2023] [Accepted: 05/25/2023] [Indexed: 06/17/2023] Open
Abstract
Primary scrotal lipoma is a rare urological diagnosis. It is usually diagnosed incidentally as most of time initial diagnosis may be confused with other common etiology of scrotal masses. A rare case of scrotal lipoma with initial misdiagnosis of hydrocele at primary health facility is presented in this article.
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Affiliation(s)
- Orgeness Jasper Mbwambo
- Department of Urology, Faculty of MedicineKilimanjaro Christian Medical University CollegeMoshiTanzania
- Department of UrologyKilimanjaro Christian Medical CentreMoshiTanzania
| | - Angela Pallangyo
- Department of PathologyKilimanjaro Christian Medical University CollegeMoshiTanzania
- Department of PathologyKilimanjaro Christian Medical CentreMoshiTanzania
| | - Jasper Saidi Mbwambo
- Department of Urology, Faculty of MedicineKilimanjaro Christian Medical University CollegeMoshiTanzania
- Department of UrologyKilimanjaro Christian Medical CentreMoshiTanzania
| | - Frank Bright
- Department of Urology, Faculty of MedicineKilimanjaro Christian Medical University CollegeMoshiTanzania
- Department of UrologyKilimanjaro Christian Medical CentreMoshiTanzania
| | - Alfred K. Mteta
- Department of Urology, Faculty of MedicineKilimanjaro Christian Medical University CollegeMoshiTanzania
- Department of UrologyKilimanjaro Christian Medical CentreMoshiTanzania
| | | | - Bartholomeo Nicholaus Ngowi
- Department of Urology, Faculty of MedicineKilimanjaro Christian Medical University CollegeMoshiTanzania
- Department of UrologyKilimanjaro Christian Medical CentreMoshiTanzania
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Chen Y, Li XN, Yi XL, Tang Y. Giant bilateral scrotal lipoma with abnormal somatic fat distribution: A case report. World J Clin Cases 2022; 10:10803-10810. [PMID: 36312474 PMCID: PMC9602210 DOI: 10.12998/wjcc.v10.i29.10803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 08/11/2022] [Accepted: 09/01/2022] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Scrotal lipoma is exceedingly rare, so its origin is still unknown. Injury is suggested as a potential factor, but the cause remains unclear. It is difficult to determine the origin of these tumours. Previous studies have suggested that these tumours may be congenital or that they originate from small fatty particles around the cord. Other studies have suggested that these tumours originate from testicles or the tunica.
CASE SUMMARY A 66-years elderly male with giant scrotal mass. B-ultrasound, computed tomography and magnetic resonance imaging examinations are typical lipoma-like changes, which were confirmed by postoperative pathological analysis. Abnormal somatic fat distribution was confirmed by images. no recurrence after follow-up for 2 years. Previously published English-language literature was reviewed, and a history of inguinal or pelvic surgery was reported in 6 studies (total 21 cases). To our knowledge, this is the heaviest bilateral scrotal lipoma in the English-language literature, and it has the longest postoperative follow-up time. More importantly, the origin of these tumours is reviewed and discussed.
CONCLUSION Giant bilateral scrotal lipoma in elderly may as part of the symptoms of abnormal somatic fat distribution.
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Affiliation(s)
- Yu Chen
- Department of Urology, Wuming Hospital of Guangxi Medical University, Nanning 530199, Guangxi Zhuang Autonomous Region, China
| | - Xiu-Ning Li
- Department of Urology, Wuming Hospital of Guangxi Medical University, Nanning 530199, Guangxi Zhuang Autonomous Region, China
| | - Xian-Lin Yi
- Department of Urology, Wuming Hospital of Guangxi Medical University, Nanning 530199, Guangxi Zhuang Autonomous Region, China
| | - Yong Tang
- Department of Urology, Wuming Hospital of Guangxi Medical University, Nanning 530199, Guangxi Zhuang Autonomous Region, China
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Wanke J, Yongjing F. A case report of Madelung's disease in China. Radiol Case Rep 2021; 17:320-325. [PMID: 34876958 PMCID: PMC8633830 DOI: 10.1016/j.radcr.2021.10.035] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Revised: 10/12/2021] [Accepted: 10/17/2021] [Indexed: 11/29/2022] Open
Abstract
Madelung disease (MD) is a rare form of lipodystrophy, which refers to diffuse and symmetrical adipose tissue deposition in the superficial and deep subcutaneous fascial spaces, presenting as multiple painless masses throughout the body. The disease is most commonly seen in middle-aged men who have been drinking alcohol for a long time and has not been reported domestically. This article analyzed the clinical data with Madelung's disease, discussed its etiology, clinical manifestations, diagnosis, and treatment methods, and provided help for clinical diagnosis and treatment.
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Affiliation(s)
- Jin Wanke
- School of Medicine, Nanchang University, No. 1299, Xuefu Avenue, Honggutan New District, Nanchang City, Jiangxi Province, China, 330031
| | - Fan Yongjing
- Department of Stomatology, The Affiliated Hospital of Inner Mongolia Medical University , Hohhot, Inner Mongolia, China, 010010.,Mongolian National University of Medical Sciences, Mongolia
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Seidu AS, Yorke J, Akpaloo J, Danso P, Sukenibe SS, Fiifi-Yankson PK, Adae-Aboagye K, Amoah G, Yamoah FA, Afful-Yorke D, Agyeman-Gyebi SNP, Brenu SG, Adjei E. Giant primary scrotal lipoma in a low-resource setting: challenges with diagnosis and review of literature. J Surg Case Rep 2021; 2021:rjab398. [PMID: 34567516 PMCID: PMC8458910 DOI: 10.1093/jscr/rjab398] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Revised: 08/13/2021] [Accepted: 08/17/2021] [Indexed: 12/28/2022] Open
Abstract
Lipoma is the commonest benign mesenchymal tumor composed of matured adipocytes. A literature search revealed few reported cases of giant scrotal lipoma. This article aims to report a giant scrotal lipoma weighing 1100 g and illustrate our challenges with the diagnostic process in a low-resource setting. A 28-year-old male presented with a huge right scrotal mass. Examination revealed the mass had no cough impulse. It was firm, non-tender and lobulated, with definite edges. Scrotal sonography was suspicious of lipoma. Intraoperatively, there was an encapsulated scrotal wall mass and an incidental inguinoscrotal hernia, content being the omentum. The scrotal mass was excised, hernia sac was ligated, and excised and the posterior wall was repaired. Histology confirmed the scrotal mass as a lipoma. Primary scrotal lipomas are rare but should be considered in the differential diagnosis of unusual scrotal masses. Ultrasonography is a useful diagnostic tool in resource-limited settings.
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Affiliation(s)
| | - Joseph Yorke
- Department of Surgery, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
- General Surgery Unit, Komfo Anokye Teaching Hospital, Kumasi, Ghana
| | - Joseph Akpaloo
- Department of Surgery, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
- Plastics and Reconstructive Surgery Unit, Komfo Anokye Teaching Hospital, Kumasi, Ghana
| | - Patrick Danso
- General Surgery Unit, Komfo Anokye Teaching Hospital, Kumasi, Ghana
| | | | - Papa Kwesi Fiifi-Yankson
- Department of Surgery, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
- Plastics and Reconstructive Surgery Unit, Komfo Anokye Teaching Hospital, Kumasi, Ghana
| | - Kwadwo Adae-Aboagye
- Plastics and Reconstructive Surgery Unit, Komfo Anokye Teaching Hospital, Kumasi, Ghana
| | - George Amoah
- Urology Unit, Komfo Anokye Teaching Hospital, Kumasi, Ghana
| | | | | | | | | | - Ernest Adjei
- Department of Pathology, Komfo Anokye Teaching Hospital, Kumasi, Ghana
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