What is the nature of intrascrotal freely mobile swelling?

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Ahmed Mahmoud Al Adl

Could it be a scrotal fibroma

Fouad Aoun

what is the context? age? reason for the ultrasound? symptoms?

In some hydrocele we found some calcifications without any pathologic significance. these are mainly signs of inflammation. did you operate on this patient?

26 years old presented with painless scrotal swelling

Trauma, inflammation, or necrosis in the scrotal cavity may lead to depositing of organic material in hydrocele fluid with consecutive calcification if the fluid is oversaturated.The appearance of scrotal calculi in hydrocele does not change the treatment or prognosis of hydroceles. However, if the calculous material is attached to the visceral or parietal part of the tunica vaginalis and does not change position during sonography with different postures, tumor growth may be a problem.