Intrascrotal calculi: A very rare stone disease

Parlaktaş, Bekir Süha; Uluocak, Nıhat; Filiz, Ercan; Erdemır, Fikret; Özyurt, Hüseyın

doi:10.1111/j.1442-2042.2006.01423.x

Cited by 5 publications

(5 citation statements)

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“…Biochemical analysis of the calculi, on the other hand, showed that they were composed of calcium, oxalate, and phosphorus. 17 In our series, 12 of the 23 patients had no pathologic abnormalities of the scrotal contents except for the scrotal calculi. In 12 patients with no pathologic abnormalities of the scrotum, the other hypothesis based on alterations in the scrotal fluid content may be more appropriate.…”

Section: Discussionmentioning

confidence: 56%

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Scrotal Calculi

Artaş

Orhan

2007

Journal of Ultrasound in Medicine

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The prevalence of scrotal calculi was 2.65%, and a minority of patients had other abnormalities, reflecting the generally benign etiology of these "pearls." To date, no information is available in the literature about the results of chronic irritation due to scrotal calculi. Further studies in larger series need to be performed to elucidate the formation mechanism and natural course of scrotal calculi.

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Section: Discussionmentioning

confidence: 56%

“…Parlaktas et al 17 reported multiple calculi in hydrocele along with findings from histopathologic examination of the excised tunica vaginalis testis and biochemical analysis of the calculi. Histologic examination of the tunica vaginalis testis revealed chronic inflammation with fibrosis.…”

Section: Discussionmentioning

confidence: 99%

Scrotal Calculi

Artaş

Orhan

2007

Journal of Ultrasound in Medicine

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“…Histologically, the scrotal calculi consist of fibrinoid deposits around a central nidus of hydroxyapatite (3,8). Biochemical analyses of the calculi have revealed that they are composed of calcium, oxalate and phosphorus (9).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of scrotal calculi and its relationship to pain

Tan

Ozcan²,

Karaoğlanoğlu³

et al. 2011

Diagn Interv Radiol

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303T he presence of scrotal calculi is a relatively rare condition that is characterized by the presence of freely mobile calcified bodies between the layers of the tunica vaginalis of the testes, which are often found in patients who have been referred for scrotal ultrasound (1). The etiology of the scrotal calculi is uncertain. However, inflammatory changes within the remnants of the appendix, testis or epididymis may play a role in the development of these types of calculi (1, 2). There are a limited number of studies on scrotal calculi in the literature, and most of these are case reports. Furthermore, to our knowledge, no clinical trial has focused on whether there is a relationship between scrotal calculi and pain.The purpose of this large series study was to determine the frequency of scrotal calculi in men who were referred for scrotal ultrasound, and to identify any associated pathologic conditions in order to investigate whether any relationship exists between the presence of scrotal calculi and pain. Materials and methodsThis research was approved by the institutional human ethics committee at our hospital. A retrospective review of the radiology data processing system database revealed the existence of 4084 ultrasonography (US) scrotal reports from 3435 men between January 2008 and February 2011.US examinations were performed using US equipment with a 9-14 MHz linear probe (Logic9, GE Healthcare, Milwaukee, Wisconsin, USA) and with an 8-14 MHz linear probe (Technos MPX, Esaote, Genoa, Italy). US examinations were performed by two radiologists who were experienced in ultrasound techniques. The examinations were performed while the patient was lying in the supine position. The scrotum was immobilized prior to the application of a small amount of gel, and the US scans were performed in the transverse, longitudinal and multiple oblique planes. In this study, the patient information and the US findings were obtained from the US reports. These reports had been recorded in the radiology information system and we evaluated each of the scrotal US reports.Scrotal calculi were defined as typical round or oval echogenic foci with or without acoustic shadowing that were located between the layers of the tunica vaginalis of the testes (Fig. 1). Additionally, scrotal abnormalities, such as the presence of hydrocele or varicocele, or any other testicular or epididymal abnormalities that were reported during the scrotal US examination, were noted.Following the identification of scrotal calculi from the US reports, a total of 67 patients were contacted by phone, and 40 patients were interviewed. Subsequently, patients were asked whether they had any scrotal PURPOSEThe purpose of this study was to determine the frequency of scrotal calculi in men referred for scrotal ultrasonography (US), to identify any associated pathologies, and to investigate if any relationship exists between scrotal lithiasis and pain. MATERIALS AND METHODSThis was a retrospective study in which 4084 scrotal US examinations in 3435 men were eval...

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“…4 But in our case patient presented with the scrotal swelling with no scrotal pain or the hydrocele, ultrasound scrotum also showed hypervascular lesion with no evidence of calculi. Scrotal calculi found in the sac of hydrocele in a case reported by Parlaktas et al and study done by Merino et al 5,6 Due to frerquent use of ultrasound now a days diagnosis of scrotal calculi is more frequently being made. 7 Parlak et al also reported a case of uretheroscrotal fistula that developed after a surgery for uretheral stone removal and cystolithotomy, patient presented with painless scrotal swelling that used to disappear after manual compression, little bit similar as in our case fistula developed after scrotal stone removal but swelling didn't disappear on manual compression but demonstrated clear evidence of scrotourethral fistula as fluid was coming out both from scrotal skin and the urethral meatus (Figure 4), so we made a diagnosis of scrotourethral fisula on clinical basis only, unlike in prior case where they prescribed multidetector CT(MDCT) for the diagnosis.…”

Section: Discussionmentioning

confidence: 95%

Scrotal calculi with delayed urethroscrotal fistula: a rare case presentation with literature review

Aggarwal

2019

Int Surg J

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We are presenting here a case of young adult of 27 year old with complaints of small swelling in the right scrotal region with a history of 1 month only, slowly progressive in size with no urinary complaints. On clinical examination right scrotal cyst was the diagnosis made. USG scrotum also revealed the same with possibility of high vascularity lesion, fnac was not possible because of high vascularity. plan was made for excisional biopsy. While performing excision, surprisingly that turned out ABSTRACT Scrotal calculi are not so common entity in the clinical presentation. Scrotourethral fistula is an abnormal communication between scrotal skin and the urethra, usually result of the inflammation and due to perforation by urethral calculi and sometimes iatrogenic due to surgery done for urethral stone removal or uretheroplasty. We present here a very rare case of young adult gentleman who initially presented with a scrotal swelling, turned out into scrotal calculi while doing surgical excision, later on presented as uretheroscrotal fistula that managed conservatively. After going through the available literature and through the pub med articles (approx 148 articles while searching with titles of 'scrotal calculi', 'scrotourethral fistula', 'uretherocutaneous fistula') we found only 1-2 cases of scrotourethral fistula. A high index of clinical suspicion and examination is needed to diagnose such asymptomatic rare presentation cases.

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Intrascrotal calculi: A very rare stone disease

Abstract: A stone in the hydrocele sac is very rarely encountered, whereas the occurrence of multiple stones in the hydrocele cavity has not been reported before. Numerous intrascrotal stones were encountered in the hydrocele sac of a patient during operation and has prompted us to report this case.

Cited by 5 publications

References 4 publications

Scrotal Calculi

Scrotal Calculi

Prevalence of scrotal calculi and its relationship to pain

Scrotal calculi with delayed urethroscrotal fistula: a rare case presentation with literature review

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