Rare case of paratesticular rhabdomyosarcoma

Extremities are the usual site of involvement in Rhabdomyosarcomas whereas paratesticular rhabdomyosarcoma is an extremely rare, which is known to be an aggressive variety of paratesticular tumors occurring in first and second decades of life. They usually develop from the tunica, epididymis or the spermatic cord. Precise preoperative diagnosis is seldom established. It can be mistaken as epididymitis, scrotal abscess, hydrocele, testicular tumors, tuberculosis of testis and strangulated or obstructed inguinal hernia, as in our case. Multidisciplinary approach is needed for the management and disease localized to the scrotum has a favorable outcome