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Musculoskeletal/Small parts » Scrotum And Testicles
Scrotal calculi
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Author(s) :
Ravi Kadasne, MD
 
Presentation A 50 year old doctor with history of repeated self- limiting attacks of excruciating/shooting pain localized to the left testis. The pain subsides after a minute or two. He has no other symptoms
 
 
 
Caption: Transverse scan of left hemiscrotum
Description: A large extratesticular echogenic focus is seen within the left scrotal sac in close proximity to the testis. The left testis and epididymis appear normal.
 
 
 
Caption: Transverse scan of left hemiscrotum
Description: Two additional tiny, highly echogenic foci are identified in the left hemiscrotum, close to the epididymal surface.
 
 
 
Caption: Views of the right scrotum
Description: A highly echogenic focus is seen in the right hemiscrotum, closely attached to the inner wall of the scrotal sac. The visualized testis appears normal.
 
 
 
Caption: Oblique and transverse views on the right side
Description: Additional echogenic foci were seen in close proximity to the right testis, external to it. These foci show posterior shadowing. A small right hydrocele is noted.
 
 
 
Caption: Comparative view of right and left scrotal content
Description: As marked by the arrows, the extratesticular echogenic lesions are seen in both the scrotal sacs.
 
Differential Diagnosis Scrotal calculi
 
Final Diagnosis Scrotal calculi
 
 
Follow Up 1. Linkowski GD, Avellone A, Gooding GA. Scrotal calculi: sonographic detection. Radiology. 1985 Aug; 156(2):484.
2. Dogra V, Gottlieb R, et al. Sonography of the scrotum. Radiology. 2003; 227: 18-36.