Spermatic cord rhabdomyoma

A 67-year-old man presented with a scrotal swelling. Intraoperatively, this swelling was found to arise from the spermatic cord structures and was completely excised. Histopathology revealed a rhabdomyoma arising from the cord. The patient has had no evidence of recurrence in the past 24 months. We present the various types of rhabdomyomas and discuss the differential diagnosis for a spermatic cord swelling.