Glomus tumor in the genital area is extremely rare, with an extensive search in the medical literature revealing only 1 case arising in the scrotum. They can be easily mistaken, both clinically and radiologically, for skin neoplasms or primary testicular tumors involving the scrotum. This report presents a case of a 54-year-old man who presented with a painful right scrotal swelling. Ultrasound suggested the possibility of an epidermal inclusion cyst. The excised mass was diagnosed as a benign glomus tumor. To the best of our knowledge, this is the second case of glomus tumor of the scrotum described in the literature. This report expands the differential diagnoses of scrotal neoplasms. Furthermore, essential guidelines necessary to distinguish glomus tumor from other lesions in the scrotum are discussed.