Scrotal Calcification in Children (Literature Review with Their Own Clinical Observations)
Abstract
A casuistically rare observation of multiple calcifications in the tunica vaginalis of the right testicle in a full-term baby with calcification in the liver and multilocular subependymal cysts is presented. The boy was hospitalized with suspicion of inguinal hernia, an accurate diagnosis was made with ultrasonography. Presumptive etiologic factor was toxoplasmosis. The article contains an extensive review of the literature on calcifications of the scrotum of various etiologies in children of all age groups. All variants of calcifications, presented in the literature, are supplemented by own observations and illustrative material. The possibilities of high-resolution ultrasonography in assessing testicular structures in children are discussed.
About the Author
E. B. Olkhova
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Department of Radiology, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
References
1. Ольхова Е.Б., Юткина М.С. Ультразвуковая диагностика перекрута яичка у новорожденных // Радиология - практика. 2015. № 2. С. 14-22.
2. Acosta P., Gambina F., Perelli L. et al. Meconium periorchitis: а case report // Arch. Argent. Pediatr. 2015. V. 1. № 113 (6). P. 330-332.
3. Artas H., Orhan I. Scrotal calculi // J. Ultrasound Med. 2007. V. 26 № 12. P. 1775-1779.
4. Aslan A., Tan S., Yıldırım H. et al. Scrotal calculi in clinical practice and their role in scrotal pain: A prospective study // J. Clin. Ultrasound. 2015. V. 43. № 7. P. 406-411.
5. Cesca E., Midrio P., Tregnaghi A. et al. Meconium periorchitis: a rare cause of fetal scrotal cyst-MRI and pathologic appearance // Fetal. Diagn. Ther. 2009. V. 26. № 1. P. 38-40.
6. Chiummariello S., Figus A., Menichini G. et al. Scrotal calcinosis: a very rare multiple clinical presentation // Clin. Exp. Dermatol. 2009. V. 34. № 8. P. 795-797.
7. Conkbayir I., Yanik B., Keyik B., Hekimogly B. Eggshell calcification of the testis: ultrasonographic findings // J. Ultrasound. Med. 2009. V. 28. № 11. P. 1581-1583.
8. Cooper M. L., Kaefer M., Fan R. et al. Testicular microlithiasis in children and associated testicular cancer // Radiol. 2014. V. 270. № 3. P. 857-863.
9. Das A., Murphy A., McMahon M. et al. Fetal meconium peritonitis: the «vanishing hydrocele» sign // Arch. Dis. Child. Fetal. Neonatal. Ed. 2003. V. 88. № 1. Р. 74.
10. Deganello A., Svasti-Salee D., Allen P. et al. Scrotal calcification in a symptomatic paediatric population: Prevalence, location, and appearance in a cohort of 516 patients // Clin. Radiol. 2012. V. 67. № 9. P. 862-867.
11. Degani S. Ultrasound in the evaluation of intrauterine infection during pregnancy // Harefuah. 2009. V. 148. № 7. P. 460-464, 474.
12. DeRoo S. E., Lumpkins K. M., El-Metwally D. E. Scrotoschisis in a neonate with meconium peritonitis and periorchitis // J. Neonatal. Perinatal. Med. 2016. V. 9. № 1. P. 107-112.
13. Domínguez Hinarejos C., Bonillo García M. A., Sangüesa C. et al. Intratesticular calcifications in childhood // Actas Urol. Esp. 2007. V. 31. № 1. P. 33-37.
14. Harnam Singh Rekhi, Sushil Kumar Mittal, Srinath Reddy Mannem et al. An atypical case of meconium periorchitis as paratesticular mass in a neonate // Clin. Case Rep. 2016. V. 4. № 9. P. 866- 869.
15. Hassan A., El-Mogy S., Zalata K., Mostafa T. Bilateral testicular tuberculomas: a case detection // Androl. 2009. V. 41. № 2. P. 130-135.
16. Hintze J. M., O'Hare K., McDermott T., Thomas A. Z. Paratesticular myositis ossificans of the spermatic cord // BMJ Case Rep. 2018. V. 4.
17. Kidron D., Sharony R. Fetal liver calcifications: an autopsy study // Virchows Arch. 2012. V. 460. № 4. P. 399-406.
18. Ochiai D., Omori S., Ikeda T., Yakubo K., Fukuiya T. A rare case of meconium periorchitis diagnosed in utero // Case Rep. Obstet. Gynecol. 2015. V. 2015.
19. Olaya C. M., Aldana M. S., Maya G. M., Gil F. Hepatic calcifications in fetal population studied by autopsies in Bogota, Colombia // J. Dev. Orig. Health Dis. 2017. V. 8. № 5. P. 613-617.
20. Pedersen M. R., Rafaelsen S. R., Møller H., Vedsted P., Osther P. J. Testicular microlithiasis and testicular cancer: review of the literature // Int. Urol. Nephrol. 2016. V. 48. № 7. P. 1079-1086.
21. Ping L. M., Rajadurai V. S., Saffari S. E., Chandran S. Meconium peritonitis: correlation of antenatal diagnosis and postnatal outcome - an institutional experience over 10 years // Fetal. Diagn. Ther. 2017. V. 42. № 1. P. 57-62.
22. Regev R. H., Markovich O., Arnon S. et al. Meconium periorchitis: intrauterine diagnosis and neonatal outcome: а case reports and review of the literature // J. Perinatol. 2009. V. 29. № 8. P. 585- 587.
23. Sahlin E., Sirotkina M., Marnerides A. et al. Fetal calcifications are associated with chromosomal abnormalities // PLoS One. 2015. V. 29. № 10(4). e. 0123343.
24. Simchen M. J., Toi A., Bona M. et al. Fetal hepatic calcifications: prenatal diagnosis and outcome // Am. J. Obstet. Gynecol. 2002. V. 187. № 6. P. 1617-1622.
25. Soferman R., Ben-Sira L., Jurgenson U. Cystic fibrosis and neonatal calcified scrotal masses // J. Cyst. Fibros. 2003. V. 2. № 4. P. 214-216.
26. Tongsong T., Srisupundit K., Traisrisilp K. Prenatal sonographic diagnosis of congenital varicella syndrome // J. Clin. Ultrasound. 2012. V. 40. № 3. P. 176-178.
27. Trout A. T., Chow J., McNamara E. R. et al. Association between Testicular Microlithiasis and Testicular Neoplasia: Large Multicenter Study in a Pediatric Population // Radiol. 2017. V. 285. № 2. P. 576-583.
28. Várkonyi I., Fliegel C., Rösslein R. et al. Meconium periorchitis: case report and literature review // Eur. J. Pediatr. Surg. 2000. V. 10. № 6. P. 404-407.
29. Voekt C. A., Rinderknecht T., Hirsch H. H. et al. Ultrasound indications for maternal STORCH testing in pregnancy // Swiss. Med. Wkly. 2017. V. 29. № 147. w14534.
30. Wollina U., Schönlebe J., França K. et al. Idiopathic scrotal calcinosis - a case report open access maced // J. Med. Sci. 2018. V. 25. № 6 (1). P. 108-109.
31. Vouga M., Baud D. Imaging of congenital Zika virus infection: the route to identification of prognostic factors // Prenat. Diagn. 2016. V. 36. № 9. P. 799-811.
32. Yesil S., Tanyildiz H. G., Sahin G. How should we monitor boys with testicular microlithiasis? // Pediatr. Hematol. Oncol. 2016. V. 33 № 3. P. 171-177.
Review
For citations:
Olkhova E.B. Scrotal Calcification in Children (Literature Review with Their Own Clinical Observations). Radiology - Practice. 2018;(5):31-46. (In Russ.)
Views:
326
Email this article 