[Differential diagnosis of intrascrotal calcification: lithiasis attached to hydrocele wall].
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.


CONCLUSIONS
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.
Valero Puerta
J A
JA
Servicio de Urología, Hospital de la Merced, Osuna, Sevilla, España.
Medina Pérez
M
M
Valpuesta Fernández
I
I
Sánchez González
M
M
D002114:Calcinosis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005832:Genital Diseases, Male / Q000150:complications / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D012611:Scrotum; D006848:Testicular Hydrocele / Q000150:complications* / Q000175:diagnosis*; D014545:Urinary Calculi / Q000150:complications* / Q000175:diagnosis*