Double external genitalia in a 2 days infant, A so rare case: A case report

A normally developed scrotum could be associated with ectopic scrotal tissue which may be detected in the perineum, groin, or elsewhere but usually without containing testes within. Congenital scrotal anomalies are uncommon. There are four categories of scrotal anomalies, including penoscrotal transposition, bifid scrotum, accessory scrotum, and ectopic scrotum. Scrotum shows multiple congenital anomalies which could be explained by embryological abnormalities in migration of labioscrotal swelling. Patients with ectopic scrotum should undergo upper urinary tract imaging with ultrasonography. This imaging study showed that our patient had no genitourinary or other anomalies. Accessory scrotum is the presence of scrotal skin that is outside its normal location and does not contain a testicle. It is usually treated by simple excision after verification that it contains no testicle. Our case was a 2 days old male with double external genitalia that both of them is working and has separated vessels and uretras. We start examination and ultrasonography for anomalies that all of them was normal and schedule surgery for him in 6-12 months years old of his life. When facing cases of this kinds of cases, physicians should move away from considering surgical excision and biopsy as exclusive first-line management. Instead, we place emphasize and raise awareness about the option of conservative management if imaging shows no abnormalities. Surgery and plastic surgery can avoid from future problems.