Two Adult Cases of Perineal Lipomas: Accessory Scrotum?

A perineal location of a lipoma is uncommon and associated with some poorly described clinical features.Congenital perineal lipomas are known to be associated with an accessory scrotum in >80% of cases.Non-congenital, adult-onset perineal lipoma cases are very rare.Herein, we report two adult patients, aged 48 and 62 years old, who presented with accessory scrota and their histopathology revealed perineal lipomas.Patient management was successfully achieved through the total removal of the supernumerary scrota and perineal adipose tissue masses.No concurrent developmental anomalies or other complications linked to this condition were identified.These presented cases show the prognosis of adult-onset perineal lipomas.