Abstract

Citation: Patil M. Extensive scrotal calcinosis in a young adult. J Clin Images Med Case Rep. 2024; 5(3): 2898.

Description

Scrotal calcinosis is a rare condition characterized by the presence of multiple calcified nodules within the scrotal skin. These nodules are usually painless and benign but can cause significance cosmetic concern and physiological distress due to their appearance. The exact cause is not well understood, but it is believed to be associated with deposition of calcium salts in the soft tissue. It is commonly seen in middle aged adults. We present a case involving a 30 year old male patient who presented with multiple, painless nodular swellings over the scrotum that had gradually increased in size and number since 9 years. The patients medical history did not reveal any metabolic, inflammatory, or systemic conditions, nor any history of trauma. Local examination revealed multiple, firm, painless, subcutaneous nodules within the scrotal wall with no ulcerations (Figure 1). Testis were normal and there was no inguinal lymphadenopathy. All the routine blood investigations were done and a Xray of pelvis was done which showed multiple calcified lesions over the scrotum (Figure 2).

Patient was planned for surgery and complete excision of the calcified cysts were done followed by primary closure (Figure 3). The excised specimen was sent for histopathological examination.

Declarations

Ethical approval: Written informed consent was obtained from the patient described in this article.

Funding: No funding has been received to carry out the work described in this manuscript.

Disclaimers or conflict of interest: None.

References

1. Khallouk A, Yazami OE, Mellas S, Tazi MF, El Fassi J, Farih MH. Idiopathic scrotal calcinosis: a non-elucidated pathogenesis and its surgical treatment. Rev Urol. 2011; 13(2): 95-7. PMID: 21935341; PMCID: PMC3176555.
2. Kyei MY, Djagbletey R, Abrahams AD, Mensah JE. Idiopathic Scrotal Calcinosis: A Case Report and Review of Postoperative Outcomes. Case Rep Urol. 2020; 14: 2020:8877695. doi: 10.1155/2020/8877695. PMID: 33005472; PMCID: PMC7509566.
3. Michl UH, Gross AJ, Loy V, Dieckmann KP. Idiopathic calcinosis of the scrotum--a specific entity of the scrotal skin. Case report. Scand J Urol Nephrol. 1994; 28(2): 213-7. doi: 10.3109/00365599409180506. PMID: 7939479