Peno-scrotal limphedema with giant hydrocele - surgical treatment particularities
Identifieur interne : 003891 ( Ncbi/Merge ); précédent : 003890; suivant : 003892Peno-scrotal limphedema with giant hydrocele - surgical treatment particularities
Auteurs : Dan Mischianu ; Ioan Florescu ; Victor Madan ; Cristian Iatagan ; Ovidiu Bratu ; Anca Oporan ; C. GiubleaSource :
- Journal of Medicine and Life [ 1844-122X ] ; 2009.
Descripteurs français
- KwdFr :
- MESH :
- étiologie : Hydrocèle, Lymphoedème.
- Adulte, Humains, Hydrocèle, Lymphangiome, Lymphoedème, Mâle, Procédures de chirurgie urogénitale.
English descriptors
- KwdEn :
- MESH :
- complications : Lymphangioma.
- etiology : Lymphedema, Testicular Hydrocele.
- methods : Urogenital Surgical Procedures.
- surgery : Lymphedema, Testicular Hydrocele.
- Adult, Humans, Male.
Abstract
The necessity for complex and multidisciplinary approach of “border” surgical pathology has unanimously been agreed upon for such a long period of time, its advantages becoming even more obvious in rare, particular cases.
We report the case of a 39 year-old man diagnosed with lymphangiomatosis back in his childhood. He is admitted with a giant pseudotumoral scrotal mass presenting an important scrotal enlargement (40/35 cm).
Physical examination, blood tests, ultrasound, IVP, abdominal and chest CT, psychiatric and plastic surgery evaluation established the diagnosis: peno-scrotal lymphedema with gigantic hydrocele and depressive disorder. Taking into account the important enlargement of the scrotum associated with the alteration of the local skin, we decided to form a mixed surgical team: urology - plastic and reconstructive surgery.
We performed bilateral surgical therapy of hydrocele with partial excision and eversion of sac edges, excision of peno-scrotal skin and subcutaneous tissue surplus. At the end we made a reconstruction by using a partial-thickness graft from the normal skin of the left thigh.
Spinal anaesthesia was sufficient in order to perform a qualitative complex surgery. Intra and postoperative course was uneventful with minimal blood loss.
Rare cases like this one clearly reveal the advantages of a multidisciplinary surgical team by combining usual surgical procedures from different specialities that could lead to spectacular results.
Url:
PubMed: 20108494
PubMed Central: 5051485
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He is admitted with a giant pseudotumoral scrotal mass presenting an important scrotal enlargement (40/35 cm).</p><p>Physical examination, blood tests, ultrasound, IVP, abdominal and chest CT, psychiatric and plastic surgery evaluation established the diagnosis: peno-scrotal lymphedema with gigantic hydrocele and depressive disorder. Taking into account the important enlargement of the scrotum associated with the alteration of the local skin, we decided to form a mixed surgical team: urology - plastic and reconstructive surgery.</p><p>We performed bilateral surgical therapy of hydrocele with partial excision and eversion of sac edges, excision of peno-scrotal skin and subcutaneous tissue surplus. At the end we made a reconstruction by using a partial-thickness graft from the normal skin of the left thigh.</p><p><bold>Results</bold>:</p><p>Spinal anaesthesia was sufficient in order to perform a qualitative complex surgery. Intra and postoperative course was uneventful with minimal blood loss.</p><p><bold>Conclusion</bold>:</p><p>Rare cases like this one clearly reveal the advantages of a multidisciplinary surgical team by combining usual surgical procedures from different specialities that could lead to spectacular results.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Bulkley, Gj" uniqKey="Bulkley G">GJ Bulkley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sauer, Pf" uniqKey="Sauer P">PF Sauer</name></author><author><name sortKey="Bueschen, Aj" uniqKey="Bueschen A">AJ Bueschen</name></author><author><name sortKey="Vasconnez, Lo" uniqKey="Vasconnez L">LO Vasconnez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gonella, Ha" uniqKey="Gonella H">HA Gonella</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yormuk, E" uniqKey="Yormuk E">E Yormuk</name></author><author><name sortKey="Sevin, K" uniqKey="Sevin K">K Sevin</name></author><author><name sortKey="Emiroglu, M" uniqKey="Emiroglu M">M Emiroglu</name></author><author><name sortKey="Turker, M" uniqKey="Turker M">M Turker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Apesos, J" uniqKey="Apesos J">J Apesos</name></author><author><name sortKey="Anigian, G" uniqKey="Anigian G">G Anigian</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Feins, Nr" uniqKey="Feins N">NR Feins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Modolin, M" uniqKey="Modolin M">M Modolin </name></author><author><name sortKey="Mitre, A" uniqKey="Mitre A">A Mitre </name></author><author><name sortKey="Quagliano, Ap" uniqKey="Quagliano A">AP Quagliano </name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sun, Gs" uniqKey="Sun G">GS Sun</name></author><author><name sortKey="Zhong, Ag" uniqKey="Zhong A">AG Zhong</name></author><author><name sortKey="He, W" uniqKey="He W">W He</name></author><author><name sortKey="Du, P" uniqKey="Du P">P Du</name></author><author><name sortKey="Song, Wm" uniqKey="Song W">WM Song</name></author><author><name sortKey="Ma, Jg" uniqKey="Ma J">JG Ma</name></author></analytic></biblStruct></listBibl></div1></back></TEI><double pmid="20108494"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Peno-scrotal limphedema with giant
hydrocele - surgical treatment particularities
</title><author><name sortKey="Mischianu, Dan" sort="Mischianu, Dan" uniqKey="Mischianu D" first="Dan" last="Mischianu">Dan Mischianu</name><affiliation><nlm:aff id="A1">“Dr. Carol Davila” Central Military Emergency Hospital - Department of Urology</nlm:aff></affiliation></author><author><name sortKey="Florescu, Ioan" sort="Florescu, Ioan" uniqKey="Florescu I" first="Ioan" last="Florescu">Ioan Florescu</name><affiliation><nlm:aff id="A1">“Dr. Carol Davila” Central Military Emergency Hospital - Department of Urology</nlm:aff></affiliation></author><author><name sortKey="Madan, Victor" sort="Madan, Victor" uniqKey="Madan V" first="Victor" last="Madan">Victor Madan</name><affiliation><nlm:aff id="A1">“Dr. Carol Davila” Central Military Emergency Hospital - Department of Urology</nlm:aff></affiliation></author><author><name sortKey="Iatagan, Cristian" sort="Iatagan, Cristian" uniqKey="Iatagan C" first="Cristian" last="Iatagan">Cristian Iatagan</name><affiliation><nlm:aff id="A1">“Dr. Carol Davila” Central Military Emergency Hospital - Department of Urology</nlm:aff></affiliation></author><author><name sortKey="Bratu, Ovidiu" sort="Bratu, Ovidiu" uniqKey="Bratu O" first="Ovidiu" last="Bratu">Ovidiu Bratu</name><affiliation><nlm:aff id="A1">“Dr. Carol Davila” Central Military Emergency Hospital - Department of Urology</nlm:aff></affiliation></author><author><name sortKey="Oporan, Anca" sort="Oporan, Anca" uniqKey="Oporan A" first="Anca" last="Oporan">Anca Oporan</name><affiliation><nlm:aff id="A2">“D. Bagdasar” Hospital - Department of Plastic and Reconstructive Surgery</nlm:aff></affiliation></author><author><name sortKey="Giublea, C" sort="Giublea, C" uniqKey="Giublea C" first="C" last="Giublea">C. Giublea</name><affiliation><nlm:aff id="A2">“D. Bagdasar” Hospital - Department of Plastic and Reconstructive Surgery</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">20108494</idno><idno type="pmc">5051485</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051485</idno><idno type="RBID">PMC:5051485</idno><date when="2009">2009</date><idno type="wicri:Area/Pmc/Corpus">004098</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004098</idno><idno type="wicri:Area/Pmc/Curation">004097</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004097</idno><idno type="wicri:Area/Pmc/Checkpoint">003635</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">003635</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Peno-scrotal limphedema with giant
hydrocele - surgical treatment particularities
</title><author><name sortKey="Mischianu, Dan" sort="Mischianu, Dan" uniqKey="Mischianu D" first="Dan" last="Mischianu">Dan Mischianu</name><affiliation><nlm:aff id="A1">“Dr. Carol Davila” Central Military Emergency Hospital - Department of Urology</nlm:aff></affiliation></author><author><name sortKey="Florescu, Ioan" sort="Florescu, Ioan" uniqKey="Florescu I" first="Ioan" last="Florescu">Ioan Florescu</name><affiliation><nlm:aff id="A1">“Dr. Carol Davila” Central Military Emergency Hospital - Department of Urology</nlm:aff></affiliation></author><author><name sortKey="Madan, Victor" sort="Madan, Victor" uniqKey="Madan V" first="Victor" last="Madan">Victor Madan</name><affiliation><nlm:aff id="A1">“Dr. Carol Davila” Central Military Emergency Hospital - Department of Urology</nlm:aff></affiliation></author><author><name sortKey="Iatagan, Cristian" sort="Iatagan, Cristian" uniqKey="Iatagan C" first="Cristian" last="Iatagan">Cristian Iatagan</name><affiliation><nlm:aff id="A1">“Dr. Carol Davila” Central Military Emergency Hospital - Department of Urology</nlm:aff></affiliation></author><author><name sortKey="Bratu, Ovidiu" sort="Bratu, Ovidiu" uniqKey="Bratu O" first="Ovidiu" last="Bratu">Ovidiu Bratu</name><affiliation><nlm:aff id="A1">“Dr. Carol Davila” Central Military Emergency Hospital - Department of Urology</nlm:aff></affiliation></author><author><name sortKey="Oporan, Anca" sort="Oporan, Anca" uniqKey="Oporan A" first="Anca" last="Oporan">Anca Oporan</name><affiliation><nlm:aff id="A2">“D. Bagdasar” Hospital - Department of Plastic and Reconstructive Surgery</nlm:aff></affiliation></author><author><name sortKey="Giublea, C" sort="Giublea, C" uniqKey="Giublea C" first="C" last="Giublea">C. Giublea</name><affiliation><nlm:aff id="A2">“D. Bagdasar” Hospital - Department of Plastic and Reconstructive Surgery</nlm:aff></affiliation></author></analytic><series><title level="j">Journal of Medicine and Life</title><idno type="ISSN">1844-122X</idno><idno type="eISSN">1844-3117</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><bold>Introduction</bold>:</p><p>The necessity for complex and multidisciplinary approach of “border” surgical pathology has unanimously been agreed upon for such a long period of time, its advantages becoming even more obvious in rare, particular cases.</p><p><bold>Patients and methods</bold>:</p><p>We report the case of a 39 year-old man diagnosed with lymphangiomatosis back in his childhood. He is admitted with a giant pseudotumoral scrotal mass presenting an important scrotal enlargement (40/35 cm).</p><p>Physical examination, blood tests, ultrasound, IVP, abdominal and chest CT, psychiatric and plastic surgery evaluation established the diagnosis: peno-scrotal lymphedema with gigantic hydrocele and depressive disorder. Taking into account the important enlargement of the scrotum associated with the alteration of the local skin, we decided to form a mixed surgical team: urology - plastic and reconstructive surgery.</p><p>We performed bilateral surgical therapy of hydrocele with partial excision and eversion of sac edges, excision of peno-scrotal skin and subcutaneous tissue surplus. At the end we made a reconstruction by using a partial-thickness graft from the normal skin of the left thigh.</p><p><bold>Results</bold>:</p><p>Spinal anaesthesia was sufficient in order to perform a qualitative complex surgery. Intra and postoperative course was uneventful with minimal blood loss.</p><p><bold>Conclusion</bold>:</p><p>Rare cases like this one clearly reveal the advantages of a multidisciplinary surgical team by combining usual surgical procedures from different specialities that could lead to spectacular results.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Bulkley, Gj" uniqKey="Bulkley G">GJ Bulkley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sauer, Pf" uniqKey="Sauer P">PF Sauer</name></author><author><name sortKey="Bueschen, Aj" uniqKey="Bueschen A">AJ Bueschen</name></author><author><name sortKey="Vasconnez, Lo" uniqKey="Vasconnez L">LO Vasconnez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gonella, Ha" uniqKey="Gonella H">HA Gonella</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yormuk, E" uniqKey="Yormuk E">E Yormuk</name></author><author><name sortKey="Sevin, K" uniqKey="Sevin K">K Sevin</name></author><author><name sortKey="Emiroglu, M" uniqKey="Emiroglu M">M Emiroglu</name></author><author><name sortKey="Turker, M" uniqKey="Turker M">M Turker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Apesos, J" uniqKey="Apesos J">J Apesos</name></author><author><name sortKey="Anigian, G" uniqKey="Anigian G">G Anigian</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Feins, Nr" uniqKey="Feins N">NR Feins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Modolin, M" uniqKey="Modolin M">M Modolin </name></author><author><name sortKey="Mitre, A" uniqKey="Mitre A">A Mitre </name></author><author><name sortKey="Quagliano, Ap" uniqKey="Quagliano A">AP Quagliano </name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sun, Gs" uniqKey="Sun G">GS Sun</name></author><author><name sortKey="Zhong, Ag" uniqKey="Zhong A">AG Zhong</name></author><author><name sortKey="He, W" uniqKey="He W">W He</name></author><author><name sortKey="Du, P" uniqKey="Du P">P Du</name></author><author><name sortKey="Song, Wm" uniqKey="Song W">WM Song</name></author><author><name sortKey="Ma, Jg" uniqKey="Ma J">JG Ma</name></author></analytic></biblStruct></listBibl></div1></back></TEI></pmc><pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Peno-scrotal limphedema with giant hydrocele--surgical treatment particularities.</title><author><name sortKey="Mischianu, Dan" sort="Mischianu, Dan" uniqKey="Mischianu D" first="Dan" last="Mischianu">Dan Mischianu</name><affiliation wicri:level="1"><nlm:affiliation>"Dr. Carol Davila" Clinical Military Emergency Hospital Bucharest, Department of Urology, 134 Calea Plevnei, Bucharest, Romania.</nlm:affiliation><country xml:lang="fr">Roumanie</country><wicri:regionArea>"Dr. Carol Davila" Clinical Military Emergency Hospital Bucharest, Department of Urology, 134 Calea Plevnei, Bucharest</wicri:regionArea><wicri:noRegion>Bucharest</wicri:noRegion></affiliation></author><author><name sortKey="Florescu, Ioan" sort="Florescu, Ioan" uniqKey="Florescu I" first="Ioan" last="Florescu">Ioan Florescu</name></author><author><name sortKey="Madan, Victor" sort="Madan, Victor" uniqKey="Madan V" first="Victor" last="Madan">Victor Madan</name></author><author><name sortKey="Iatagan, Cristian" sort="Iatagan, Cristian" uniqKey="Iatagan C" first="Cristian" last="Iatagan">Cristian Iatagan</name></author><author><name sortKey="Bratu, Ovidiu" sort="Bratu, Ovidiu" uniqKey="Bratu O" first="Ovidiu" last="Bratu">Ovidiu Bratu</name></author><author><name sortKey="Oporan, Anca" sort="Oporan, Anca" uniqKey="Oporan A" first="Anca" last="Oporan">Anca Oporan</name></author><author><name sortKey="Giublea, C" sort="Giublea, C" uniqKey="Giublea C" first="C" last="Giublea">C. Giublea</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2009 Jan-Mar</MedlineDate></PubDate></date><idno type="RBID">pubmed:20108494</idno><idno type="pmid">20108494</idno><idno type="wicri:Area/PubMed/Corpus">002B85</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002B85</idno><idno type="wicri:Area/PubMed/Curation">002B85</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002B85</idno><idno type="wicri:Area/PubMed/Checkpoint">002B85</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002B85</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Peno-scrotal limphedema with giant hydrocele--surgical treatment particularities.</title><author><name sortKey="Mischianu, Dan" sort="Mischianu, Dan" uniqKey="Mischianu D" first="Dan" last="Mischianu">Dan Mischianu</name><affiliation wicri:level="1"><nlm:affiliation>"Dr. Carol Davila" Clinical Military Emergency Hospital Bucharest, Department of Urology, 134 Calea Plevnei, Bucharest, Romania.</nlm:affiliation><country xml:lang="fr">Roumanie</country><wicri:regionArea>"Dr. Carol Davila" Clinical Military Emergency Hospital Bucharest, Department of Urology, 134 Calea Plevnei, Bucharest</wicri:regionArea><wicri:noRegion>Bucharest</wicri:noRegion></affiliation></author><author><name sortKey="Florescu, Ioan" sort="Florescu, Ioan" uniqKey="Florescu I" first="Ioan" last="Florescu">Ioan Florescu</name></author><author><name sortKey="Madan, Victor" sort="Madan, Victor" uniqKey="Madan V" first="Victor" last="Madan">Victor Madan</name></author><author><name sortKey="Iatagan, Cristian" sort="Iatagan, Cristian" uniqKey="Iatagan C" first="Cristian" last="Iatagan">Cristian Iatagan</name></author><author><name sortKey="Bratu, Ovidiu" sort="Bratu, Ovidiu" uniqKey="Bratu O" first="Ovidiu" last="Bratu">Ovidiu Bratu</name></author><author><name sortKey="Oporan, Anca" sort="Oporan, Anca" uniqKey="Oporan A" first="Anca" last="Oporan">Anca Oporan</name></author><author><name sortKey="Giublea, C" sort="Giublea, C" uniqKey="Giublea C" first="C" last="Giublea">C. Giublea</name></author></analytic><series><title level="j">Journal of medicine and life</title><idno type="ISSN">1844-122X</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Humans</term><term>Lymphangioma (complications)</term><term>Lymphedema (etiology)</term><term>Lymphedema (surgery)</term><term>Male</term><term>Testicular Hydrocele (etiology)</term><term>Testicular Hydrocele (surgery)</term><term>Urogenital Surgical Procedures (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Humains</term><term>Hydrocèle ()</term><term>Hydrocèle (étiologie)</term><term>Lymphangiome ()</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Mâle</term><term>Procédures de chirurgie urogénitale ()</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Lymphangioma</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term><term>Testicular Hydrocele</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Urogenital Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphedema</term><term>Testicular Hydrocele</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Hydrocèle</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Humans</term><term>Male</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Humains</term><term>Hydrocèle</term><term>Lymphangiome</term><term>Lymphoedème</term><term>Mâle</term><term>Procédures de chirurgie urogénitale</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The necessity for complex and multidisciplinary approach of "border" surgical pathology has unanimously been agreed upon for such a long period of time, its advantages becoming even more obvious in rare, particular cases.</div></front></TEI></pubmed></double></record>Pour manipuler ce document sous Unix (Dilib)
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