Giant scrotal elephantiasis of inflammatory etiology: a case report
Identifieur interne : 003B48 ( Pmc/Checkpoint ); précédent : 003B47; suivant : 003B49Giant 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 :
- Journal of Medical Case Reports [ 1752-1947 ] ; 2007.
Abstract
Scrotal lymphedema is rare outside endemic filariasis regions in Africa and Asia. It is of variable origin in the western world.
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.
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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<front><div type="abstract" xml:lang="en"><sec><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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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Med Case Reports</journal-id>
<journal-title>Journal of Medical Case Reports</journal-title>
<issn pub-type="epub">1752-1947</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
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<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
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<title-group><article-title>Giant scrotal elephantiasis of inflammatory etiology: a case report</article-title>
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<contrib-group><contrib id="A1" contrib-type="author"><name><surname>Denzinger</surname>
<given-names>Stefan</given-names>
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<email>stefandenzinger@gmx.de</email>
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<contrib id="A2" contrib-type="author"><name><surname>Watzlawek</surname>
<given-names>Elke</given-names>
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<email>ewatzlawek@gmx.de</email>
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<contrib id="A3" contrib-type="author"><name><surname>Burger</surname>
<given-names>Maximilian</given-names>
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<email>maximilianburger@gmx.de</email>
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<contrib id="A4" contrib-type="author"><name><surname>Wieland</surname>
<given-names>Wolf F</given-names>
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<email>wieland@caritasstjosef.de</email>
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<contrib id="A5" corresp="yes" contrib-type="author"><name><surname>Otto</surname>
<given-names>Wolfgang</given-names>
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<email>wolfgang1.otto@klinik.uni-regensburg.de</email>
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<aff id="I1"><label>1</label>
Department of Urology, University of Regensburg, Landshuterstraße 65, 93053 Regensburg, Germany</aff>
<pub-date pub-type="collection"><year>2007</year>
</pub-date>
<pub-date pub-type="epub"><day>2</day>
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<lpage>23</lpage>
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<history><date date-type="received"><day>15</day>
<month>2</month>
<year>2007</year>
</date>
<date date-type="accepted"><day>2</day>
<month>6</month>
<year>2007</year>
</date>
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<permissions><copyright-statement>Copyright © 2007 Denzinger et al; licensee BioMed Central Ltd.</copyright-statement>
<copyright-year>2007</copyright-year>
<copyright-holder>Denzinger et al; licensee BioMed Central Ltd.</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0"></ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p>
<pmc-comment>
Denzinger
Stefan
stefandenzinger@gmx.de
Giant scrotal elephantiasis of inflammatory etiology: a case report
2007 Journal of Medical Case Reports 1(1): 23-. (2007) 1752-1947(2007)1:1<23> urn:ISSN:1752-1947 </pmc-comment>
</license>
</permissions>
<abstract><sec><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>
</abstract>
</article-meta>
</front>
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