ReviewBMC urology2025
First pediatric case of spermatic cord fibrolipoma: case report and literature review.
Review in BMC urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Pediatric spermatic cord fibrolipoma presenting as acute scrotum: a rare case report and literature review.Journal of surgical case reports · 2026Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBenign tumors of the spermatic cord constitute the majority of paratesticular tumors. Fibrolipomas are unusual in adults; however, there are no known cases involving the spermatic cord in children. CASE PRESENTATION: A male patient, aged 13, arrived at the emergency department complaining of right inguinoscrotal pain and nausea for the past four days. The genital examination of the patient revealed a tender, freely movable mass located in the right scrotum above the testicle. Doppler scrotal ultrasound demonstrated a soft tissue structure measuring 48 × 19 mm with heterogeneity and absence of vascular activity located along the spermatic cord in proximity to the right testicle. Right scrotal tenderness and absence of blood supply on Doppler ultrasound indicated emergency surgical intervention, considering the possibility of torsion in an accessory testicle, more frequently encountered in pediatrics. Surgical exploration of the inguinal region and mass excision were conducted. The pathology report determined a tumor exhibiting collagenized tissues surrounding fatty lobules, indicative of a fibrolipoma.
conclusionsTo our knowledge, this pediatric patient represents the first reported case of spermatic cord fibrolipoma. Although benign, fibrolipomas can present with acute scrotal symptoms and mimic more urgent conditions, such as torsion of an accessory testis. The possibility of fibrolipoma, while rare, should be considered in the differential diagnosis of a paratesticular mass to prevent misdiagnosis and potential testicular compromise. Optimal outcomes depend on early detection, accurate imaging, and prompt surgical intervention.
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