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Autosomal Dominant Polycystic Kidney Disease
Joseph Junewick, MD FACR
over 11 years ago
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Scrotal Pearls

Case Detail

Anatomy: Genitourinary
Joseph Junewick, MD FACR
Diagnostic Category: Vascular
Created: over 10 years ago
Updated: over 10 years ago
Tags: PEDS
Modality/Study Types: US
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14 year old male with recent left scrotal discomfort; no current symptoms.

Case Images


Scrotal Pearls


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


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.


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.


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