Scrotoliths, also known as scrotal pearls, are benign incidental extra testicular macro-calcifications within the scrotum. They frequently occupy the potential space of the tunica vaginalis or sinus of the epididymis. They are usually of no clinical significance 1,2.

Most scrotoliths are asymptomatic.

Possible etiologies include:

Usually shows a mobile hyperechoic extratesticular focus in the potential tunica space. If large enough, the pearl usually has posterior acoustic shadowing. It may be free floating if there is an accompanying hydrocele.

Ultrasound - testicular and scrotal

Article information

rID: 7432
System: Urogenital
Synonyms or Alternate Spellings:
  • Scrotal pearls
  • Scrotoliths

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Cases and figures

  • Case 1: a scrotal pearl with hydrocele
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  • Case 2: incidental scrotolith
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  • Case 3
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