Scrotal lymphangioma in an adult

We present a case of scrotal lymphangioma in a 25-year-old man. The patient presented with scrotal swelling and an ultrasound scan demonstrating a complex extratesticular cystic mass around the left spermatic cord. He underwent excision of the mass, followed by orchiectomy for recurrence. This case was interesting for several reasons. First, scrotal lymphangioma, although very rare, is usually seen in infants and children. Second, for a symptomatic extratesticular cystic mass, surgery might be warranted. Finally, although primary excision is the treatment of choice in the younger individual, the same might not be true for the rare adult with this disease.