A case of fibrous pseudotumor of the tunica vaginalis in a 54-year-old male patient with no remarkable previous clinical history is described. The diagnosis was made following near total removal of the tunica vaginalis which presented firm nodules of different sizes and whitish fibrous plaques. We discuss the pathological findings in this lesion which may raise doubts when making the differential diagnosis from other benign paratesticular conditions and, above all, true neoplastic disease.