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American Family Physician Oct 2019
Topics: Acute Disease; Adult; Diagnosis, Differential; Edema; Fournier Gangrene; Humans; Male; Scrotum
PubMed: 31573165
DOI: No ID Found -
Anales de Pediatria (Barcelona, Spain :... Sep 2014
Topics: Humans; Infant, Newborn; Male; Scrotum
PubMed: 24316298
DOI: 10.1016/j.anpedi.2013.10.054 -
BJU International Dec 2013
Topics: Humans; Magnetic Resonance Imaging; Male; Physical Examination; Radionuclide Imaging; Scrotum; Spermatic Cord Torsion
PubMed: 24284000
DOI: 10.1111/bju.12311 -
Journal of General Internal Medicine Sep 2016
Topics: Calcinosis; Humans; Male; Scrotum
PubMed: 26921158
DOI: 10.1007/s11606-016-3600-y -
The Medical Journal of Malaysia Dec 2018Acute scrotal pain is a common complaint in emergency or primary care practice. A myriad of pathologies need to be considered, and while the clinical history often leads... (Review)
Review
Acute scrotal pain is a common complaint in emergency or primary care practice. A myriad of pathologies need to be considered, and while the clinical history often leads the clinician to the correct diagnosis, radiologists are often called upon to provide further diagnostic information through ultrasonography. Here, we present the sonographic features of various scrotal emergencies, as well as a few pitfalls. Through this, we explore the breadth of urgent pathologies that may be encountered, both traumatic and non-traumatic. For the clinician who performs point-of-care ultrasound, whether in clinic or in the emergency department, we hope that this pictorial article will lay a good foundation for confident and accurate image interpretation.
Topics: Emergencies; Genital Diseases, Male; Genitalia, Male; Humans; Male; Scrotum; Tomography, X-Ray Computed; Ultrasonography
PubMed: 30647231
DOI: No ID Found -
Journal of Medical Case Reports Dec 2018Abnormal deposition of calcium in the skin or subcutaneous tissue is termed calcinosis cutis. Idiopathic calcinosis cutis of the scrotum is an uncommon entity. The... (Review)
Review
BACKGROUND
Abnormal deposition of calcium in the skin or subcutaneous tissue is termed calcinosis cutis. Idiopathic calcinosis cutis of the scrotum is an uncommon entity. The pathogenesis of idiopathic calcinosis cutis of the scrotum is debatable. The condition presents as several brown to yellowish nodules on the scrotum, gradually progressive, and mostly asymptomatic. Here we report a case of idiopathic calcinosis cutis of the scrotum with a brief review of the literature and a discussion on pathogenesis.
CASE PRESENTATION
A healthy looking, 50-year-old Nepali man presented with multiple growths on his scrotum for 15 years, which were mostly asymptomatic with an occasional complaint of itching. On physical examination, multiple pink to brown nodules ranging in size from 0.5 × 0.5 × 0.5 cm to 3 × 3 × 1 cm, which were painless and firm in consistency, were noted. On laboratory examinations the following were found to be within normal limits: serum calcium, phosphorus, parathyroid hormone, and vitamin D hormone levels; uric acid; alkaline phosphatase; and lipid profile. Based on clinical features and laboratory reports, a diagnosis of idiopathic calcinosis cutis of the scrotum was made. The nodules were excised under local anesthesia in several sittings, which gave a good cosmetic result with no evidence of recurrence in 1-year follow-up period. A histopathological examination revealed dermis with areas of fibrosis and calcification along with numerous multinucleated giant cells and an absence of any cystic structure.
CONCLUSIONS
Idiopathic calcinosis cutis of the scrotum is a benign condition, which remains mostly asymptomatic. It presents as progressive multiple nodules of varying numbers and sizes. A histopathological evaluation reveals areas of calcification. The cause is either dystrophic calcification of cysts or idiopathic. Excision is the treatment of choice.
Topics: Calcinosis; Genital Diseases, Male; Humans; Male; Middle Aged; Scrotum
PubMed: 30537979
DOI: 10.1186/s13256-018-1922-6 -
Journal of Medical Case Reports Dec 2023Accessory splenic tissue is a commonly encountered phenomenon in medical literature. Typically, these accessory spleens are found in close proximity to the main spleen,...
BACKGROUND
Accessory splenic tissue is a commonly encountered phenomenon in medical literature. Typically, these accessory spleens are found in close proximity to the main spleen, either in the hilum or within the surrounding ligaments. Nevertheless, it is noteworthy that they can also be located in unusual sites such as the jejunum wall, mesentery, pelvis, and, exceptionally rarely, the scrotum. The first documented case of accessory splenic tissue in the scrotum was reported by Sneath in 1913 and is associated with a rare congenital anomaly called splenogonadal fusion. This report describes an infant who presented with a scrotal mass noted by his mother and after examination, investigations, and surgical exploration, it was revealed to be splenogonadal fusion.
CASE DESCRIPTION
An 8-month-old Caucasian male patient presented with a mass in the left testicle and bluish discoloration of the scrotum, which had been incidentally noticed in the previous 2 months. The general physical examination was unremarkable. Other than a palpable scrotal mass that was related to the upper pole of the testis, the rest of examination was unremarkable. Imaging revealed that this mass originated from the tail of the epididymis without infiltrating the testis and tumor markers were normal. On inguinal exploration, a reddish brown 2 × 2 cm mass was found attached to the upper pole and was completely excised without causing any harm to the testis, vessels, or epididymis. Histopathological evaluation confirmed the presence of intratesticular ectopic splenic tissue.
CONCLUSION
Although uncommon, splenogonadal fusion can be included in the differential diagnosis of a testicular swelling. Accurate diagnosis allows for appropriate treatment planning which helps to avoid unnecessary radical orchiectomy, which can have a significant impact on the patient's reproductive and psychological wellbeing.
Topics: Infant; Humans; Male; Testis; Splenic Diseases; Orchiectomy; Scrotum; Digestive System Abnormalities
PubMed: 38098099
DOI: 10.1186/s13256-023-04241-0 -
Deutsches Arzteblatt International Jan 2013
Topics: Epididymitis; Humans; Male; Scrotum; Spermatic Cord Torsion; Ultrasonography
PubMed: 23413385
DOI: 10.3238/arztebl.2013.0042 -
Indian Pediatrics May 2015
Topics: Humans; Ileum; Infant, Newborn; Infant, Newborn, Diseases; Intestinal Atresia; Male; Meconium; Orchitis; Scrotum
PubMed: 26061946
DOI: 10.1007/s13312-015-0655-5 -
Journal of Ultrasound Jun 2021High-resolution ultrasound is the most common imaging technique used to supplement the physical examination of scrotum and penis with great accuracy in assisting the...
High-resolution ultrasound is the most common imaging technique used to supplement the physical examination of scrotum and penis with great accuracy in assisting the diagnosis of the various pathologies of male genital system, with the highest diagnostic potential in emergency conditions. Technical advancements in real-time high-resolution, color flow Doppler sonography and contrast enhanced ultrasonography (CEUS) have led to an increase in the clinical applications of scrotal and penile sonography. In this pictorial review we focus on common and uncommon male genitalia emergency with special emphasis on the role of ultrasound assessment and its specific findings to improve diagnostic accuracy.
Topics: Emergency Service, Hospital; Humans; Male; Penis; Scrotum; Ultrasonography
PubMed: 32654040
DOI: 10.1007/s40477-020-00500-8