Idiopathic scrotal calcinosis (ISC) is a rare benign condition which presents with multiple, asymptomatic, and painless nodules on the scrotal skin wall. The lesions have been attributed as sebaceous cysts, calcified steatocystoma, fibroma, atheroma, and xanthoma. Shapiro et al. reviewed the histologic data and found no evidence of an epithelial lining, residual cysts, and lipid or organisms, and concluded that the calcification was idiopathic introducing the term "idiopathic scrotal calcinosis." We have studied four cases of idiopathic scrotal calcinosis, one of which had scrotal calcinosis involving the whole of the scrotum. He presented with painless multiple nodules over the scrotum. He was subjected for surgery with SOS skin grafting, but as the scrotal skin is so lax, primary closure is easily possible. In all our four cases, primary closure was easily possible. Keywords Calcinosis . Inclusion cyst . Scrotal swellings Case HistoryA 40-year-old male came in surgery OPD for multiple painless nodules involving the whole of the scrotum (Fig. 1). All routine investigations including HIV and VDRL were done which were normal. He was posted for in toto excision with skin grafting, but surprisingly, primary closure was possible and his postoperative recovery was very good (Fig. 2). The specimen was sent for histopathology which was suggestive of calcinosis of the scrotum (Fig. 3).
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