Scrotal calculi with delayed urethroscrotal fistula: a rare case presentation with literature review
DOI:
https://doi.org/10.18203/2349-2902.isj20192401Keywords:
Scrotal calculi, Uretherocutaneous fistula, Scrotourethral fistula, Foley’s catheter, USG scrotumAbstract
Scrotal calculi are not so common entity in the clinical presentation. Scrotourethral fistula is an abnormal communication between scrotal skin and the urethra, usually result of the inflammation and due to perforation by urethral calculi and sometimes iatrogenic due to surgery done for urethral stone removal or uretheroplasty. We present here a very rare case of young adult gentleman who initially presented with a scrotal swelling, turned out into scrotal calculi while doing surgical excision, later on presented as uretheroscrotal fistula that managed conservatively. After going through the available literature and through the pub med articles (approx 148 articles while searching with titles of ‘scrotal calculi’, ‘scrotourethral fistula’, ‘uretherocutaneous fistula’) we found only 1-2 cases of scrotourethral fistula. A high index of clinical suspicion and examination is needed to diagnose such asymptomatic rare presentation cases.
References
Zhang HM, Li GZ, Zhu CY. Scrotal calculi: advances in clinical research. Zhonghua Nan Ke Xue. 2014;20(11):1047-50.
Artas H, Orhan I. Scrotal calculi. J Ultrasound Med. 2007;26(12):1775-9.
Rafailidis V, Apostolou D, Charsoula A, Rafailidis D. Sonography of the scrotum: from appendages to scrotolithiasis. J Ultrasound Med. 2015;34(3):507-18.
Aslan A, Tan S, Yıldırım H, Dönmez U, Çam A, Gezer MC, et al. Scrotal calculi in clinical practice and their role in scrotal pain: A prospective study. J Clin Ultrasound. 2015;43(7):406-11.
Parlaktas BS, Uluocak N, Filiz E, Erdemir F, Ozyurt H. Intrascrotal calculi: a very rare stone disease. Int J Urol. 2006;13(6):849-50.
Sánchez Merino JM1, Lancina Martín A, Grases Freixedas F, Parra Muntaner L, Gómez Cisneros SC, García Alonso J. Intra-scrotal lithiasis. Crystallographic analysis. Arch Esp Urol. 2002;55(5):523-6.
López-Rasines G, Rado Velázquez MA, Calabia de Diego A, Triana MG, Pereda T. Intrascrotal lithiasis: an infrequent finding? Arch Esp Urol. 1999;52(4):329-31.
Parlak S, Okay AE. Urethroscrotal Fistula: A Rare Cause of Scrotal Swelling. Pol J Radiol. 2016;81:438–40.
Stizzo M, Arcaniolo D, Quattrone C, Balsamo R, Terribile M, Manfredi C, et al. Scrotal Abscess Drained by Iatrogenic Urethral Fistula in an Adult Diabetic Male. Case Rep Urol. 2017;2017:9820245.
Savchenko Ne. Case of congenital urethroscrotal fistula. Urol Mosc. 1956;21(2):71-2.
