Kyei Mathew Yamoah, Djagbletey Robert, Abrahams Afua Darkwa, Mensah James Edward
Department of Surgery and Urology, University of Ghana Medical School, P.O. Box 4236, Accra, Ghana.
Department of Anaesthesia, University of Ghana Medical School, P.O. Box 4236, Accra, Ghana.
Case Rep Urol. 2020 Sep 14;2020:8877695. doi: 10.1155/2020/8877695. eCollection 2020.
Idiopathic scrotal calcinosis is a rare condition, characterized by the idiopathic deposition of calcium in the scrotal dermis leading to the formation of a single nodule or multiple nodules of different sizes. Surgical excision of the nodules reduces symptoms and improves cosmesis. We present a case of idiopathic scrotal calcinosis that had an en bloc excision of scrotal skin nodules and primary closure of the scrotal skin. Handling each hemiscrotum as a separate entity and preserving the median raphe with its uninvolved skin improved the cosmesis. Reported outcomes of surgery were satisfactory with no postoperative complications. At 30 months of follow-up, the residual scrotal skin had regained its laxity and the scrotum its normal configuration. There is the risk of recurrence of the calcific nodules post excision, but these may be smaller in size and with regained scrotal configuration that could be amenable to excision with further preservation of the native scrotal skin.
特发性阴囊钙化症是一种罕见病症，其特征为钙在阴囊真皮层特发性沉积，导致单个结节或多个大小各异的结节形成。手术切除结节可减轻症状并改善美观。我们报告一例特发性阴囊钙化症病例，该病例对阴囊皮肤结节进行了整块切除，并对阴囊皮肤进行了一期缝合。将每个半阴囊作为一个独立实体处理，并保留未受累皮肤的正中缝，改善了美观效果。报告的手术结果令人满意，无术后并发症。在30个月的随访中，残留的阴囊皮肤恢复了松弛，阴囊恢复了正常形态。切除后钙化结节有复发风险，但这些结节可能较小，且阴囊形态恢复后，或许可以在进一步保留阴囊原生皮肤的情况下进行切除。
