Scrotal leiomyoma: a rare cause of scrotal swelling

Abstract

Background: Leiomyomas are benign smooth muscle tumours predominantly found in the uterus. Rarely, they may be located in the ovaries, scrotum, bladder, lungs, vascular structures and spermatic cord. Case presentation: We managed a 39-year-old man who presented with a year history of progressive right-sided hemiscrotal swelling. The right scrotal mass was excised, and histology showed scrotal leiomyoma. Conclusion: Scrotal leiomyoma is very rare and challenging to diagnose pre-operatively as a cause of scrotal swelling, but it is amenable to surgical excision.