INTRODUCTION
Scrotal mass is a common problem among men of all age groups [1]. There is a wide range of differential diagnosis that spans from malignant to benign conditions [1, 2]. The most common differentials include testicular torsion, epididymitis, varicocele, hydrocele, inguinal-scrotal hernia, epididymal cyst and testicular cancer [3, 4]. Primary scrotal lipoma is a rare urological entity which usually poses a diagnostic quandary. Here, we present our experience and challenges in a case of primary scrotal lipoma in a 40 years male. A differential diagnosis of primary scrotal lipoma should always be thought in any patient presenting with scrotal swelling. The work has been reported in line with the SCARE 2020 criteria [5].