Intrascrotal Extratesticular Epidermoid Cyst

We present a histologically confirmed pediatric case of an intrascrotal extratesticular epidermoid cyst. Epidermoid cysts are benign tumors that are exceptionally located in an intratesticular topography. They are even rarer when intrascrotal but extratesticular. Their imaging features suggestive of benignity and extratesticular location should be promptly diagnosed to plan the surgical intervention adequately. Conventional ultrasound of the scrotum combined with contrast-enhanced ultrasound (CEUS) was performed, identifying a well-defined hypoechoic para testicular lesion with a hyperechoic border, avascular in the Doppler study, and without enhancement in CEUS, findings, which together with its cystic nature, favor benignity.