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Year : 2011  |  Volume : 14  |  Issue : 3  |  Page : 157-160

Cystic lymphangioma in an unusual site: The misdiagnosed scrotal mass

Department of Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria

Correspondence Address:
J N Legbo
Department of Surgery, Usmanu Danfodiyo University Teaching Hospital, P.M.B. 2370, Sokoto, 840001
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Source of Support: None, Conflict of Interest: None

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Background : Cystic lymphangioma (CL) is a congenital lymphatic malformation that is a rare cause of extratesticular scrotal masses in children, frequently misdiagnosed preoperatively. Complete excision is curative, but recurrence may result following incomplete excision. Aim: This case is presented to alert the medical fraternity on the possibility of CL in a rare site as the scrotum, and to consider same in the differential amongst commoner causes of scrotal masses in children and adults. Methods : A case report, Results : We report a case of cystic lymphangioma of the scrotum in a 7-year-old boy, which had been previously diagnosed as an epididymal cyst. Scrotal ultrasonography and operative findings were consistent with cystic lymphangioma, which was confirmed by histological examination of the excised specimen. The mass was completely excised and the child is free of recurrence at 3 years of follow-up. Conclusion : Scrotal masses may result from unusual causes like cystic lymphangioma, which must be taken into account in the differential diagnosis in such cases. High-resolution ultrasonography, followed by Computerized Tomography (CT) or Magnetic Resonance Imaging (MRI), are useful tools in diagnosis.

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