Gross and micro-anatomical features of scrotal pearls. A. Location of scrotal pearls in the tunica vaginalis cavity marked with red asterisk; B. Scrotal pearls seen as hard, glistening, whitish to pearly white coloured, pyramidal and oval bodies; C, D. H&E stained sections of the scrotal pearls where concentric fibrous lamellae were seen ensheathing smaller similar lamellar bodies with calcified contents in the core of the lamellae appearing as purplish black flakes; a: scrotum; b: glans penis; c: shaft of the penis; d: visceral layer of the left tunica vaginalis; e: tunica vaginalis cavity; f: parietal of the left tunica vaginalis; g: spermatic cord; h: pyramidal scrotal pearl; i: ovoid scrotal pearl; j: outer concentric fibrous lamellae; k: larger lamellar body; l: smaller lamellar bodies; m: calcified necrotic contents.