{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:58:16Z","timestamp":1777694296319,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Case Rep"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Idiopathic scrotal calcinosis is a rare, benign condition of uncertain etiology that typically begins in adolescence or early adulthood. Although often asymptomatic, patients usually seek medical attention for cosmetic concerns and may also report pruritus, soreness, or discharge of a white, chalky material from the nodules, occasionally accompanied by secondary infection. This condition occurs in the absence of calcium or phosphate metabolism abnormalities. We present a case series of patients with idiopathic scrotal calcinosis who underwent surgical excision of the involved scrotal skin or enucleation of individual cysts. In Case 1, resection of scrotal skin containing multiple nodules was followed by primary closure. Case 2, a 24-year-old male, underwent wide excision of scrotal skin with primary repair. In a 19-year old male (Case 3, a sleeve of scrotal skin containing a dominant nodule(s) was excised, while Case 4, an 18-year-old male, underwent enucleation of individual nodules. All patients showed good surgical &amp; cosmetic outcomes during follow-up, with no postoperative complications and a high level of satisfaction with the results. Here we discuss the clinical features, pathogenesis and surgical management of this rare condition.<\/jats:p>","DOI":"10.1177\/11795476251409016","type":"journal-article","created":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T14:39:08Z","timestamp":1768747148000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Multiple Scrotal Swellings: Idiopathic Scrotal Calcinosis\u2014A Case Series"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8627-0452","authenticated-orcid":false,"given":"Lovenish","family":"Bains","sequence":"first","affiliation":[{"name":"Department of Surgery, Maulana Azad Medical College, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Palak","family":"Bhatnagar","sequence":"additional","affiliation":[{"name":"Department of Surgery, Maulana Azad Medical College, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pawan","family":"Lal","sequence":"additional","affiliation":[{"name":"Department of Surgery, Maulana Azad Medical College, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pritesh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Surgery, Maulana Azad Medical College, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Varuna","family":"Mallya","sequence":"additional","affiliation":[{"name":"Department of Pathology, Maulana Azad Medical College, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,18]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1970.04000080071014"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2014.18.297.4971"},{"issue":"2","key":"e_1_3_2_4_2","first-page":"5","article-title":"Scrotal calcinosis: idiopathic or dystrophic?","volume":"16","author":"Dubey S","year":"2010","unstructured":"Dubey S, Sharma R, Maheshwari V. Scrotal calcinosis: idiopathic or dystrophic? Dermatol Online J. 2010;16(2):5.","journal-title":"Dermatol Online J"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.dad.0000246465.25986.68"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1982.01650240029016"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2011.04922.x"},{"issue":"5","key":"e_1_3_2_8_2","first-page":"495","article-title":"Idiopathic scrotal calcinosis: the incorrect terminology of scrotal calcinosis","volume":"150","author":"Yuyucu Karabulut Y","year":"2015","unstructured":"Yuyucu Karabulut Y, Kankaya D, \u015eenel E, D\u00f6lek Y, Uslu A, Sert\u00e7elik A. Idiopathic scrotal calcinosis: the incorrect terminology of scrotal calcinosis. G Ital Dermatol Venereol. 2015;150(5):495-499.","journal-title":"G Ital Dermatol Venereol"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(00)01007-4"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(88)70278-9"},{"key":"e_1_3_2_11_2","first-page":"20","article-title":"Idiopathic scrotal calcinosis: a rare scrotal skin disorder","volume":"58","author":"Bekir Suha P","year":"2005","unstructured":"Bekir Suha P, Nihat U, Re\u015fit Do\u011fan K, Fikret E, Engin S. Idiopathic scrotal calcinosis: a rare scrotal skin disorder. Ankara \u00dcniversitesi T\u0131p Fak Mecm. 2005;58:20-22.","journal-title":"Ankara \u00dcniversitesi T\u0131p Fak Mecm"},{"issue":"2","key":"e_1_3_2_12_2","first-page":"95","article-title":"Idiopathic scrotal calcinosis: a non-elucidated pathogenesis and its surgical treatment","volume":"13","author":"Khallouk A","year":"2011","unstructured":"Khallouk A, Yazami OE, Mellas S, Tazi MF, El Fassi J, Farih MH. Idiopathic scrotal calcinosis: a non-elucidated pathogenesis and its surgical treatment. Rev Urol. 2011;13(2):95-97.","journal-title":"Rev Urol"},{"issue":"1","key":"e_1_3_2_13_2","first-page":"112","article-title":"Ultrasound imaging and pathologic features of idiopathic scrotal calcinosis","volume":"22","author":"Ayilara SJ","year":"2024","unstructured":"Ayilara SJ, Lawrence OI, Ogunsanya TE, Fatunla EO, Agunloye AM, Ogbole GI. Ultrasound imaging and pathologic features of idiopathic scrotal calcinosis. Ann Ib Postgrad Med. 2024;22(1):112-115.","journal-title":"Ann Ib Postgrad Med"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.1387"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.purol.2015.12.004"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2007.07.022"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2002.11.001"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-016-1463-4"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002380050096"}],"container-title":["Clinical Medicine Insights: Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795476251409016","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11795476251409016","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795476251409016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T09:14:50Z","timestamp":1777454090000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11795476251409016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":18,"alternative-id":["10.1177\/11795476251409016"],"URL":"https:\/\/doi.org\/10.1177\/11795476251409016","relation":{},"ISSN":["1179-5476","1179-5476"],"issn-type":[{"value":"1179-5476","type":"print"},{"value":"1179-5476","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"article-number":"11795476251409016"}}