title: [Differential diagnosis of intrascrotal calcification: lithiasis attached to hydrocele wall].
abstract: 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.
authors.affiliation: Servicio de Urología, Hospital de la Merced, Osuna, Sevilla, España.
authors.forename: J A
authors.initials: JA
authors.lastname: Valero Puerta
authors.forename: M
authors.initials: M
authors.lastname: Medina Pérez
authors.forename: I
authors.initials: I
authors.lastname: Valpuesta Fernández
authors.forename: M
authors.initials: M
authors.lastname: Sánchez González
mesh_terms: 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*