This 18 y/o male presented to the ER with right scrotal pain. A selected transverse image from his scrotal US is shown above. An adequate doppler evaluation could not be performed. The ultrasound shown above is consistent with testicular microlithiasis. Doppler could not be performed due to the heavy calcifications. The patient still had pain. A nuclear testicular flow study was performed. Please see the new case of the week this week for that study and submit your diagnosis.

  1. Doherty FJ, Mullins TL, Sant GR, Drinkwater MA, Ucci AA Jr. Testicular microlithiasis. A unique sonographic appearance. J Ultrasound Med 1987 Jul;6(7):389-92 PMID:3302309
  2. Howlett DC, Marchbank ND, Sallomi DF. Pictorial review. Ultrasound of the testis. Clin Radiol 2000 Aug;55(8):595-601 PMID:10964729
  3. Thomas K, Wood SJ, Thompson AJ, Pilling D, Lewis-Jones DI. The incidence and significance of testicular microlithiasis in a subfertile population. Br J Radiol 2000 May;73(869):494-7 PMID:10884745
  4. Ganem JP. Testicular microlithiasis. Curr Opin Urol 2000 Mar;10(2):99-103 PMID:10785850
  5. Menchinelli P, De Giovanni L, Belli P, Manasia P, Weir JM, Ronzoni G. Unilateral testicular microlithiasis. Arch Ital Urol Androl 1999 Jun;71(3):199-200 PMID:10431413
  6. Skyrme RJ, Fenn NJ, Jones AR, Bowsher WG. Testicular microlithiasis in a UK population: its incidence, associations and follow-up. BJU Int 2000 Sep;86(4):482-5 PMID:10971277
  7. Cast JE, Nelson WM, Early AS, Biyani S, Cooksey G, Warnock NG, Breen DJ. Testicular microlithiasis: prevalence and tumor risk in a population referred for scrotal sonography. AJR Am J Roentgenol 2000 Dec;175(6):1703-6 PMID:11090407
  8. Bennett HF, Middleton WD, Bullock AD, Teefey SA. Testicular microlithiasis: US follow-up. Radiology 2001 Feb;218(2):359-63 PMID:11161147
  9. Derogee M, Bevers RF, Prins HJ, Jonges TG, Elbers FH, Boon TA. Testicular microlithiasis, a premalignant condition: prevalence, histopathologic findings, and relation to testicular tumor. Urology 2001 Jun;57(6):1133-7 PMID:11377326
  10. Bach AM, Hann LE, Hadar O, Shi W, Yoo HH, Giess CS, Sheinfeld J, Thaler H. Testicular microlithiasis: what is its association with testicular cancer? Radiology 2001 Jul;220(1):70-5 PMID:11425975
  11. von Eckardstein S, Tsakmakidis G, Kamischke A, Rolf C, Nieschlag E. Sonographic testicular microlithiasis as an indicator of premalignant conditions in normal and infertile men. J Androl 2001 Sep-Oct;22(5):818-24 PMID:11545295
    Comment in: J Androl. 2001 Sep-Oct;22(5):747
  12. Peterson AC, Bauman JM, Light DE, McMann LP, Costabile RA. The prevalence of testicular microlithiasis in an asymptomatic population of men 18 to 35 years old. J Urol 2001 Dec;166(6):2061-4 PMID:11696707
  13. Otite U, Webb JA, Oliver RT, Badenoch DF, Nargund VH. Testicular microlithiasis: is it a benign condition with malignant potential? Eur Urol 2001 Nov;40(5):538-42 PMID:11752862
  14. Hammoud DA, Haddad MC. Quiz case of the month. Infertility work-up. Diagnosis: bilateral testicular microlithiasis. Eur Radiol 1999;9(6):1239-40 PMID:10415272
  15. Goharderakhshan RZ, Schwartz B, Stoller M. Case no. 2. Right testicular pain. Testicular microlithiasis. Tech Urol 1999 Mar;5(1):57-8 PMID:10374800
  16. Ganem JP, Workman KR, Shaban SF. Testicular microlithiasis is associated with testicular pathology. Urology 1999 Jan;53(1):209-13 PMID:9886614

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