Leiomyoma of tunica albuginea: A case report with review of literature

Leiomyomas are benign smooth muscle tumors that can arise from any organ, but are infrequently seen in the genitourinary tract. We present a case of a 55-year-old gentleman with a history of swelling in left testis since 6 months associated with pain. A clinical diagnosis of seminoma was made. On ultrasound, the same lesion was reported as mass with homogenous echogenicity with orchitis. However, histopathological examination revealed a diagnosis of tunica albuginea leiomyoma. Tunica albuginea leiomyomas are a rare entity. This case report highlights the awareness of tunica albuginea leiomyomas, which can be clinically mistaken for malignant testicular tumor.