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Peno-scrotal limphedema with giant hydrocele - surgical treatment particularities

Identifieur interne : 003635 ( Pmc/Checkpoint ); précédent : 003634; suivant : 003636

Peno-scrotal limphedema with giant hydrocele - surgical treatment particularities

Auteurs : Dan Mischianu ; Ioan Florescu ; Victor Madan ; Cristian Iatagan ; Ovidiu Bratu ; Anca Oporan ; C. Giublea

Source :

RBID : PMC:5051485

Abstract

Introduction:

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.

Patients and methods:

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.

Results:

Spinal anaesthesia was sufficient in order to perform a qualitative complex surgery. Intra and postoperative course was uneventful with minimal blood loss.

Conclusion:

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


Affiliations:

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PMC:5051485

Le document en format XML

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<name sortKey="Florescu, Ioan" sort="Florescu, Ioan" uniqKey="Florescu I" first="Ioan" last="Florescu">Ioan Florescu</name>
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<name sortKey="Giublea, C" sort="Giublea, C" uniqKey="Giublea C" first="C" last="Giublea">C. Giublea</name>
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<title level="j">Journal of Medicine and Life</title>
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<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>
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<name sortKey="Sauer, Pf" uniqKey="Sauer P">PF Sauer</name>
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<author>
<name sortKey="Bueschen, Aj" uniqKey="Bueschen A">AJ Bueschen</name>
</author>
<author>
<name sortKey="Vasconnez, Lo" uniqKey="Vasconnez L">LO Vasconnez</name>
</author>
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<author>
<name sortKey="Gonella, Ha" uniqKey="Gonella H">HA Gonella</name>
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<name sortKey="Yormuk, E" uniqKey="Yormuk E">E Yormuk</name>
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<name sortKey="Sevin, K" uniqKey="Sevin K">K Sevin</name>
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<author>
<name sortKey="Emiroglu, M" uniqKey="Emiroglu M">M Emiroglu</name>
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<author>
<name sortKey="Turker, M" uniqKey="Turker M">M Turker</name>
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<name sortKey="Apesos, J" uniqKey="Apesos J">J Apesos</name>
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<name sortKey="Feins, Nr" uniqKey="Feins N">NR Feins</name>
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<name sortKey="Modolin, M" uniqKey="Modolin M">M Modolin </name>
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<author>
<name sortKey="Mitre, A" uniqKey="Mitre A">A Mitre </name>
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<author>
<name sortKey="Quagliano, Ap" uniqKey="Quagliano A">AP Quagliano </name>
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<name sortKey="Sun, Gs" uniqKey="Sun G">GS Sun</name>
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<name sortKey="Zhong, Ag" uniqKey="Zhong A">AG Zhong</name>
</author>
<author>
<name sortKey="He, W" uniqKey="He W">W He</name>
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<author>
<name sortKey="Du, P" uniqKey="Du P">P Du</name>
</author>
<author>
<name sortKey="Song, Wm" uniqKey="Song W">WM Song</name>
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<name sortKey="Ma, Jg" uniqKey="Ma J">JG Ma</name>
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<journal-meta>
<journal-id journal-id-type="nlm-ta">J Med Life</journal-id>
<journal-id journal-id-type="iso-abbrev">J Med Life</journal-id>
<journal-id journal-id-type="publisher-id">JMedLife</journal-id>
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<issn pub-type="epub">1844-3117</issn>
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<publisher-name>Carol Davila University Press</publisher-name>
<publisher-loc>Romania</publisher-loc>
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<article-meta>
<article-id pub-id-type="pmid">20108494</article-id>
<article-id pub-id-type="pmc">5051485</article-id>
<article-id pub-id-type="publisher-id">JMedLife-02-72</article-id>
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<subj-group subj-group-type="heading">
<subject>General Articles</subject>
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</article-categories>
<title-group>
<article-title>Peno-scrotal limphedema with giant hydrocele - surgical treatment particularities </article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Mischianu</surname>
<given-names>Dan</given-names>
</name>
<xref ref-type="aff" rid="A1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Florescu</surname>
<given-names>Ioan</given-names>
</name>
<xref ref-type="aff" rid="A1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Madan</surname>
<given-names>Victor</given-names>
</name>
<xref ref-type="aff" rid="A1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Iatagan</surname>
<given-names>Cristian</given-names>
</name>
<xref ref-type="aff" rid="A1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bratu</surname>
<given-names>Ovidiu</given-names>
</name>
<xref ref-type="aff" rid="A1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Oporan</surname>
<given-names>Anca</given-names>
</name>
<xref ref-type="aff" rid="A2">**</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Giublea</surname>
<given-names>C</given-names>
</name>
<xref ref-type="aff" rid="A2">**</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>*</label>
“Dr. Carol Davila” Central Military Emergency Hospital - Department of Urology</aff>
<aff id="A2">
<label>**</label>
“D. Bagdasar” Hospital - Department of Plastic and Reconstructive Surgery</aff>
<author-notes>
<corresp>
<bold>Correspondence to:</bold>
Victor Madan, “Dr. Carol Davila” Clinical Military Emergency Hospital Bucharest, Department of Urology, 134 Calea Plevnei, Bucharest, Romania E-mail: victmad@yahoo.com </corresp>
</author-notes>
<pub-date pub-type="ppub">
<season>Jan-Mar</season>
<year>2009</year>
</pub-date>
<volume>2</volume>
<issue>1</issue>
<fpage>72</fpage>
<lpage>75</lpage>
<permissions>
<copyright-statement>©Carol Davila University Press </copyright-statement>
<copyright-year>2009</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<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>
</abstract>
</article-meta>
</front>
</pmc>
<affiliations>
<list></list>
<tree>
<noCountry>
<name sortKey="Bratu, Ovidiu" sort="Bratu, Ovidiu" uniqKey="Bratu O" first="Ovidiu" last="Bratu">Ovidiu Bratu</name>
<name sortKey="Florescu, Ioan" sort="Florescu, Ioan" uniqKey="Florescu I" first="Ioan" last="Florescu">Ioan Florescu</name>
<name sortKey="Giublea, C" sort="Giublea, C" uniqKey="Giublea C" first="C" last="Giublea">C. Giublea</name>
<name sortKey="Iatagan, Cristian" sort="Iatagan, Cristian" uniqKey="Iatagan C" first="Cristian" last="Iatagan">Cristian Iatagan</name>
<name sortKey="Madan, Victor" sort="Madan, Victor" uniqKey="Madan V" first="Victor" last="Madan">Victor Madan</name>
<name sortKey="Mischianu, Dan" sort="Mischianu, Dan" uniqKey="Mischianu D" first="Dan" last="Mischianu">Dan Mischianu</name>
<name sortKey="Oporan, Anca" sort="Oporan, Anca" uniqKey="Oporan A" first="Anca" last="Oporan">Anca Oporan</name>
</noCountry>
</tree>
</affiliations>
</record>

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