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Giant scrotal elephantiasis of inflammatory etiology: a case report

Identifieur interne : 003B48 ( Pmc/Checkpoint ); précédent : 003B47; suivant : 003B49

Giant scrotal elephantiasis of inflammatory etiology: a case report

Auteurs : Stefan Denzinger [Allemagne] ; Elke Watzlawek [Allemagne] ; Maximilian Burger [Allemagne] ; Wolf F. Wieland [Allemagne] ; Wolfgang Otto [Allemagne]

Source :

RBID : PMC:1894979

Abstract

Background

Scrotal lymphedema is rare outside endemic filariasis regions in Africa and Asia. It is of variable origin in the western world.

Case presentation

We present a case of a 40-year-old European man with massive elephantiasis of the scrotum attributed to chronic inflammation of the lower urinary tract caused by urinary outlet obstruction and diabetes mellitus. The patient underwent subtotal scrotectomy saving penis, testes and spermatic cords and followed by scrotal reconstruction with adequate cosmetic and functional outcome.

Conclusion

In this report we discuss a rare case of scrotal elephantiasis in an European patient, reflect on the etiology and the diagnostic and therapeutic approaches. Surgery can be successful even in giant scrotal elephantiasis.


Url:
DOI: 10.1186/1752-1947-1-23
PubMed: 17543128
PubMed Central: 1894979


Affiliations:


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PMC:1894979

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<pmc-comment> Denzinger Stefan stefandenzinger@gmx.de Giant scrotal elephantiasis of inflammatory etiology: a case report 2007Journal of Medical Case Reports 1(1): 23-. (2007)1752-1947(2007)1:1<23>urn:ISSN:1752-1947</pmc-comment>
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<title>Background</title>
<p>Scrotal lymphedema is rare outside endemic filariasis regions in Africa and Asia. It is of variable origin in the western world.</p>
</sec>
<sec>
<title>Case presentation</title>
<p>We present a case of a 40-year-old European man with massive elephantiasis of the scrotum attributed to chronic inflammation of the lower urinary tract caused by urinary outlet obstruction and diabetes mellitus. The patient underwent subtotal scrotectomy saving penis, testes and spermatic cords and followed by scrotal reconstruction with adequate cosmetic and functional outcome.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>In this report we discuss a rare case of scrotal elephantiasis in an European patient, reflect on the etiology and the diagnostic and therapeutic approaches. Surgery can be successful even in giant scrotal elephantiasis.</p>
</sec>
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