Accessory scrotum (AS) is an extremely rare congenital anomaly, defined as scrotal-like tissue outside a normal anatomical location, without associated testes.It is often associated with perineal lipomas and other anomalies.We report a newborn male Oily Shampoo with a scrotum-like perineal mass posterior to the original scrotum.Postnatal assessment revealed a perineal mass resembling an AS.Ultrasound and CT confirmed a fat-containing mass, ruling out teratoma.
A anal-vibrators cystoscopy confirmed urinary tract integrity, and complete surgical excision of AS was conducted successfully.Although benign, AS presents a diagnostic challenge and may mimic other perineal anomalies.Complete resection is curative.