Hosting 718 files, 2916 images, and 4 contributors.

 
Random Case

Metastatic Wilms Tumor PET/CT
Joseph Junewick, MD FACR
over 7 years ago
Enter A Workflow
Standard2   Academic2

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.

ARSt Case Repository

Bilateral Scrotal Pearls

Case Detail

Anatomy: Genitourinary
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Vascular
Created: over 5 years ago
Updated: over 5 years ago
Tags: PEDS
Modality/Study Types: US CR
Activities:
Adobe32 PDF Imagej32 ImageJA

History

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


Case Images


Diagnosis

Scrotal Pearls

Findings

CR – Moderate stool in the colon but no radiographic evidence of obstruction. Incidental finding of bilateral scrotal calcifications.

US – Color Doppler image confirms calcification. 3D volume rendered image shows the relationship of the left-sided calcification to the testicle.

Discussion

Scrotoliths (scrotal pearls) are calcified bodies within the scrotum that have no clinical importance. In an older child, chronic appendageal torsion is the most likely etiology for these scrotal calcifications. There are five testicular appendages, which are the remnants of the mesonephric and paramesonephric ducts. Torsion of an appendage results in intense pain, usually localized in the upper pole of the testis and associated with a palpable nodule with bluish scrotal discoloration. Necrosis of the appendage leads to calcification and detachment. Occasionally, bowel perforation spilling meconium or barium may produce scrotoliths.

Reference

Aso C, Enriquez G, Fite M, et al. Gray-Scale and Color Doppler Sonography of Scrotal Disorders in Children: An Update. Radiographics (2005); 25: 1197-1214.



Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare