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[Differential diagnosis of intrascrotal calcification: lithiasis attached to hydrocele wall]
J A Valero Puerta1, M Medina Pérez, I Valpuesta Fernández
1Servicio de Urología, Hospital de la Merced, Osuna, Sevilla, España.
Objective:
To report a case of scrotal calculus in a hydrocele, attached to the parietal portion of the tunica vaginalis, complicating the differential diagnosis.
Methods:
A 54-year-old patient with a clinical diagnosis of hydrocele is described. Ultrasound confirmed the diagnosis and demonstrated a calcified structure in the hydrocele fluid, attached to the parietal portion of the tunica vaginalis. A calculus of 1.7 cm diameter was found during the surgical procedure.
Conclusion:
The presence of calculus in a hydrocele does not change the prognosis or treatment of this condition, although some doubts may arise during sonographic assessment if it is attached to the parietal portion of the tunica vaginalis.