Scrotal calculi: sonographic detection

Scrotal calculi are freely moving concretions that lie in the space between the tunicae lining the scrotum and the testicles. They are believed to originate either as fibrinous deposits in the tunica vaginalis testis or as remnants of the appendix testis or appendix epididymidis that have undergone torsion and become freely movable. A sector real-time scanner with a 7.5-MHz transducer and a small-parts scanner with a 10-MHz transducer were used to visualize scrotal calculi in two patients. The ultrasonic appearance is described along with the surgical findings, and the pathogenesis of this benign process is discussed.