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].