Two Cases of Congenital Scrotal Anomalies: Ectopic Scrotum, Accessory Scrotum / 대한비뇨기과학회지

The three major scrotal anomalies are bifid scrotum, penoscrotal transposition, and ectopic or accessory scrotum. Bifid scrotum occurs if the genital swellings fail to fuse at the scrotal septum. Penoscrotal transposition results from abnormal genital tubercle development. This is associated with delay in the midline fusion of the urethral folds. Ectopic and accessory scrotum result from cleavage or abnormal migration of the genital swellings. Ectopic scrotum is extremely rare. His right scrotum was normal in position and size, and contained a normal palpable testis. The penis was showed externally normal appearance. At operation it was possible to excise the scrotal wall, preserving the vas deferens and the testicular vessels. Accessory scrotum has not been recorded in Korea. We experienced a case of unilateral ectopic scrotum and a case of accessory scrotum.

A Case of Idiopathic Calcinosis of the Scrotum / 대한비뇨기과학회지

The idiopathic calcinosis of the scrotum is multiple and asymptomatic nodules of scrotal skin which can onset either in childhood or early adulthood. It increases in size and number, while breakingdown to discharge chalky contents on occasions. We report a case of a 68-year-old-man who was effectively treated with a simple excision of the affected skin with an idiopathic scrotal calcinosis. There is no family history of scrotal calcification. Histopathologically, multiple nodules showed the epidermal cyst with partially degenerated wall and calcium deposits with a foreign body reaction in the dermis in this case. In most reported cases, some intact epidermal cysts are also present, and dystrophic calcification, and possible inflammation and rupture of epidermal cysts regarded as be the main pathogenetic mechanism of the disease.