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Objectives: The present work will give a general view of the epididymis adenomatoid tumour, an unusual pathology reviewing its differential diagnosis and therapeutical choices., Methods/results: We present the case of a 32-year-old patient with an adenomatoid tumour located in the tail of the left epididymis. The diagnosis was achieved by echography, and was confirmed by surgical excision and histological analysis., Conclusions: Due to its low incidence in intrascrotal pathology, we believe it is important to know about this illness in order to make a differential diagnosis from other inflammatory processes and to adopt a surgical approach more frequently, due to its high diagnostic-therapeutical rentability and low morbidity.