Eggshell calcified hydrocele sac: a case report

• DOI: 10.1186/s13256-023-04076-9
• Publication Date: 2023-08-15T00:01:51Z
• Authors: Yohannis Derbew M...; Desyibelew Chanie...; Cheru Lilay Gebre...; Amanuel Kassa Tad...; Samuel Addisu Abera; Lidetu Temeche
• Keywords: Hydrocele; Tunica vaginalis; Histopathology

Hydrocele, an abnormal fluid collection between parietal and visceral layers of the tunica vaginalis, is commonest cause scrotal swelling, it affects all age groups. Calcification hydrocele sac/wall a rare clinical entity. The etiology calcification sac not clear, but most literature proposes that secondary to chronic irritation. Trauma infectious diseases including Schistosoma haematobium, filariasis, tuberculosis can also sac.A 74-year-old Ethiopian male patient presented with left side swelling 3 years duration, which was initially small progressively increased. He had no history trauma, he on contralateral side. Scrotal ultrasound (US) showed large echodebrinous left-side calcifications, bilateral testis appear normal in size, echogenicity, color Doppler flow index likely hematocele. Therefore, diagnosis left-sided calcified hydrocele, operated excised sent for histopathology. Finally, discharged improved after 2 days hospital stay.Calcification vaginalis very probably due irritation wall from coexisting hydrocele. Surgical excision treatment choice.