Idiopathic scrotal calcinosis is a rare condition characterized by the deposition of calcium salts in the scrotal skin and subcutaneous tissues and it often needs surgical excision. We present a case of idiopathic scrotal calcinosis in a 46 year-old man; detailing the clinical presentation, diagnostic workup, surgery and follow-up. This case highlights the challenges in diagnosing and managing this uncommon condition and emphasizes the importance of considering idiopathic scrotal calcinosis in the differential diagnosis of multiple scrotal nodules.