Case 2:
A two and half year-old male child presented to the outpatient department (OPD) with a history of swelling of the left hemi-scrotum of three months duration. He also complained of intermittent itching over the swelling. There was no history of fever or pain. On examination, there was a subcutaneous swelling approximately 1x1 cm, non-tender in the left hemi scrotum. Ultrasonogram study revealed a soft tissue swelling with thin tubular tortuous structure in the left scrotal wall: Worm (Dirofilaria)
The child was taken up for elective excision under general anesthesia. Per operatively, a cystic lesion 1 x1 cm adherent to the dartos fascia with live worm within was excised (Figure 2). The worm was sent for microbiological analysis and was found to be Dirofilaria repens (Figure 3). The child was post operatively asymptomatic and on follow up he had complete recovery.