Bilateral testicular micro lithiasis in pediatrics secondary to testicular trauma

Introduction Testicular micro lithiasis is defined as the presence of five or more testicular microcalcifications in a single ultrasound image The clinical meaning is still unknown It has been associated with cryptorchidism testicular torsion varicocele gonadal dysgenesis or chromosomal disorders such as Klinefelter syndrome Down syndrome McCune Albright syndrome and Peuzt Jeghers syndrome which may be associated with testicular deterioration and infertility Clinical case A male patient of years I present testicular trauma at the age of years months With peri testicular hematoma peri testicular and scrotal hematoma drainage was performed without incident Its evolution was adequate and it was withdrawn at hours after surgery Five years after the surgery he refers to inguinoscrotal pain Physical examination revealed testicular atrophy and mild hydrocele Bilateral testicular ultrasound was performed With the following findings testicular micro lithiasis in the parenchyma of both testicles Discussion In a meta analysis did not report a causal link between testicular micro lithiasis and cancer in the absence of additional risk factors Conclusion There is not enough evidence in the current literature to support any clinical surveillance regimen in patients with testicular micro lithiasis Self examination is the most important factor in the early detection of testicular malignancy