Case Report Clinical Case Reports and Reviews Clin Case Rep Rev, 2017 doi: 10.15761/CCRR.1000297 ISSN: 2059-0393 ISSN: 2059-0393 Volume 3(1): 1-2 Idiopathic scrotal calcinosis: Case report AlQahtani Raed 1 *, Albdawe Hani 2 and Saad Abumelha 2 1 Sattam Bin Abdulaziz University, College of Medicine, Surgery Department, Saudi Arabia 2 Department of Surgery, Division of Urology, King Abdulaziz Medical City, Saudi Arabia Correspondence to: AlQahtani Raed, Surgery Department, College of Medicine, Sattam Bin Abdulaziz University, Saudi Arabia, Tel: +966560806608; E-mail: raed.alasmi@gmail.com Received: January 09, 2017; Accepted: January 19, 2017; Published: January 21, 2017 Introduction Scrotal calcinosis (SC) is a rare, benign disease with few cases reported in the literature. Defned as the presence of multiple calcifed nodules within the scrotal skin. In most cases, there are no associated symptoms [1]. Case report Tis is 26 years old male patient, medically free, presented with multiple scrotal painless nodules variable in sizes, which were increasing in number over the past years. Te patient denied any scrotal diseases like infection or trauma. No history of metabolic or autoimmune diseases. Physical examination showed multiple with diferent sizes frm nodules over the scrotum 2-10 mm with no signs of infammation, infection or ulceration. No investigation was done. Our Diferential diagnosis was: - Scrotal Sebaceous Cysts -Scrotal Malignancy -Calcifed Steatocystoma [2] Based on the patient history and our deferential diagnosis, we booked the patient for surgery as an outpatient day care case surgery for removal of the scrotal nodules. Under general anesthesia, we did elliptical incisions and some of the nodules we did enucleation, we removed all the nodules which were nine in number. Surgical pathology report showed idiopathic scrotal calcinosis [3] (Figure 1). Post operation the cosmetic result was excellent and afer 6 months of follow up there was no recurrence. Discussion Idiopathic SC is a rare and benign condition, usually appears in men between 20-40 years of age. Scrotal calcinosis is more common in dark colored race and afects mainly males but similar lesions (vulvar calcinosis) has been reported in females. SC presents with variable sizes, numbers and it has white yellowish Abstract Tis is 26 years old male patient, medically free, presented to our clinic complaining of multiple painless scrotal nodules which are increasing in number in the last few years. Te patient was looking for medical treatment mostly due to cosmetic reasons. Our diagnosis was initially pointed towards sebaceous cysts. Te patient underwent surgical treatment as day case surgery for removal of the scrotal nodules by elliptical inscion. Te surgical pathology of the retrieved specimens showed idiopathic scrotal calcinosis. Te idiopathic scrotal calcinosis is rare disease with few cases reported in literatures worldwide. color, usually painless and no associated symptoms. Mainly the patient asked for treatment for the cosmetic appearance. Te diagnosis usually Figure 1. Microphotograph showing lobules of calcifc deposit in dermis surrounding by fbrosis (H&E).