Paratesticular fibrous pseudotumor arising from tunica vaginalis

Intrascrotal benign fibrous proliferations are uncommon and mostly arise from paratesticular region falling into the category of fibrous pseudotumor which is characterized by nodular growth composed of probably reactive proliferation of fibroblasts and inflammatory cells. Although benign, this often clinically mimics intrascrotal malignancy and usually remains undiagnosed preoperatively. Here, we report a case of paratesticular fibrous pseudotumor arising from testicular tunica vaginalis and involving epididymis, in a 32 year male presenting with huge left scrotal mass.