Abstract

Scrotal pearl or calculus in the hydrocele fluid is found incidentally during an operation, ultrasound or clinical, if large in size. The exact etiopathogenesis of the disease is not clear but is linked to inflammation, injury, necrosis, and infections by parasites. It is a benign asymptomatic condition and a rare complication of hydrocele. A stone in hydrocele does not change the management or prognosis; however, if the stone is adherent to the tunica albuginea and does not change position on ultrasonography the possibility of a tumor has to be borne in mind.

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