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Hemangioma
Joseph Junewick, MD FACR
over 5 years ago
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Scrotal Pearls

Case Detail

Anatomy: Genitourinary
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Vascular
Created: over 4 years ago
Updated: over 4 years ago
Tags: PEDS
Modality/Study Types: US
Activities:
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History

14 year old male with recent left scrotal discomfort; no current symptoms.


Case Images


Diagnosis

Scrotal Pearls

Findings

US – Multiple (probably four) intrascrotal/extratesticular calcifications with associated hydrocele.

Discussion

Mobile calcifications within the tunica vaginalis are often referred to as “scrotal pearls”. In general, extratesticular calcifications are more common than intratesticular calcifications and ususually related to benign processes. The etiology of scrotal pearls is often related to torsion of the epididymal or testicular appendages or fibrinous degeneration of the tunica; in infants, meconium peritonitis can be considered. Scrotal pearls are most often solitary but can be multiple and are often associated with hydrocele.

Reference

Bushby LH et al. Scrotal calcification: Ultrasound appearances, distribution and aetiology. Br J Radiol 2002; 75:283-288.

Dogra VS, et al. Sonography of the scrotum. Radiology 2003; 227:18-36.

Contributor

Kim Dombrowski, RDMS



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