Scrotal calcinosis cutis is an uncommon benign disorder of scrotal skin characterized by deposition of multiple intradermal nodules containing calcium. Nodules are painless and may vary in size. In idiopathic calcinosis, there will be normal serum calcium, phosphorus levels with normal parathyroid hormones metabolism. In our case, 48 year old male presents with multiple painless swelling over the scrotum for 2 years duration of varying size of 5 to 30 mm. Provisional diagnosis of multiple sebaceous cysts over scrotum was made. On evalution, there was no metabolic or systemic abnormalities identified. Patient underwent partial scrotectomy with complete excision of diseased scrotum including entire lesions. On HPE report, calcinosis cutis of scrotum was established as final diagnosis. Patients presents with mltiple lesions over the scrotum with differential diagnosis of multiple sebaceous cysts, calcinosis cutis of scrotum should be included in its evalution. After thorough evaluation, diagnosis to be considered as calcinosis cutis of scrotum secondary to underlying causes calcifiaction like dystrophic, metastatic, iatrogenic, metabolic or idiopathic. After diagnosis, surgical management of complete excision of diseased scrotum should be considered.

Keywords: Scrotal calcinosis,  Calcium, Intradermal calcifications, Scrotal infection, Scrotectomy.

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