Heather Borders, MD
over 6 years ago
Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.
Scrotal Pearl - Cystic Fibrosis
Joseph Junewick, MD FACR
|Diagnostic Category: Vascular
|Created: over 5 years ago
|Updated: over 3 years ago
Teenager with cystic fibrosis and abdominal pain, rule out distal intestinal obstruction.
CR – No radiographic evidence of obstruction. Incidental finding of scrotal calcifications.
US – Color Doppler image confirms calcification. 3D volume rendered image shows the relationship of one of the calcifications to the testicle.
Genitourinary abnormalities are common in in males with cystic fibrosis. Abnormal glycoprotein secretions lead to obstruction. As a result, scrotal appendages are prone to enlargement and subsequent torsion. Appendage torsion is the usual etiology scrotal pearls. Other observations in patients with cystic fibrosis include duct atrophy and eventual azoospermia, testicular microlithiasis and testicular atrophy. These observations are more common with pancreatic insufficiency.
Blau H, Freud E, Mussaffi H, et al. Urogenital abnormalities in male children with cystic fibrosis. Arch Dis Child (2002);87:135-138.
Dogra VS, Gottlieb RH, Oka M, et al. Sonography of the Scrotum. Radiology (2003); 227, 18-36.
Linda Woolpert, RT RDMS