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Joseph Junewick, MD FACR
over 7 years ago
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Scrotal Pearl - Cystic Fibrosis

Case Detail

Anatomy: Genitourinary
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Vascular
Created: over 5 years ago
Updated: over 4 years ago
Tags: PEDS
Modality/Study Types: US CR
Activities:
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History

Teenager with cystic fibrosis and abdominal pain, rule out distal intestinal obstruction.


Case Images


Diagnosis

Scrotal Pearls

Findings

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.

Discussion

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.

Reference

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.

Contributor

Linda Woolpert, RT RDMS



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