Scrotal pearl

Case contributed by Dr Yusra Sheikh


Presented with sudden onset groin pain, atraumatic. On examination, limited internal and external rotation was elicited.

Patient Data

Age: 15 years
Gender: Male

Both hips are enlocated and appear normal. No focal bone abnormality is identified. Incidental linear calcification, is seen in the right scrotum. Scrotal Ultrasound was recommended to further evaluate this.


There is an extra testicular free floating calcific density in the right hemiscrotum with posterior acoustic shadowing, consistent with a scrotal pearl. A small right hydrocele is noted. Both testes are normal in size, echotexture and vascularity.

Case Discussion

The incidental linear ossific density seen on pelvis radiograph, corresponds to a scrotal pearl on ultrasound examination.

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Case information

rID: 68404
Published: 29th May 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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