Gigantic Suprapubic Lymphedema: A Case Study
Identifieur interne : 002412 ( Pmc/Curation ); précédent : 002411; suivant : 002413Gigantic Suprapubic Lymphedema: A Case Study
Auteurs : Roozbeh Tanhaeivash [Allemagne] ; Tobias Franiel [Allemagne] ; Marc-Oliver Grimm [Allemagne] ; Marcus Horstmann [Allemagne]Source :
- The World Journal of Men's Health [ 2287-4208 ] ; 2016.
Abstract
We present the first case study of idiopathic gigantic suprapubic lymphedema and buried penis treated with puboscrotal reconstruction in a patient with initial extreme obesity after an extensive weight reduction (120 kg). Massive localized lymphedema of the suprapubic region should be differentiated from the scrotal type. Severe lymphedema could not resolve on its own and weight reduction does not seem to be helpful in such cases.
Url:
DOI: 10.5534/wjmh.2016.34.2.148
PubMed: 27574599
PubMed Central: 4999489
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<front><div type="abstract" xml:lang="en"><p>We present the first case study of idiopathic gigantic suprapubic lymphedema and buried penis treated with puboscrotal reconstruction in a patient with initial extreme obesity after an extensive weight reduction (120 kg). Massive localized lymphedema of the suprapubic region should be differentiated from the scrotal type. Severe lymphedema could not resolve on its own and weight reduction does not seem to be helpful in such cases.</p>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Mens Health</journal-id>
<journal-id journal-id-type="iso-abbrev">World J Mens Health</journal-id>
<journal-id journal-id-type="publisher-id">WJMH</journal-id>
<journal-title-group><journal-title>The World Journal of Men's Health</journal-title>
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<publisher><publisher-name>Korean Society for Sexual Medicine and Andrology</publisher-name>
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<article-id pub-id-type="doi">10.5534/wjmh.2016.34.2.148</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
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<title-group><article-title>Gigantic Suprapubic Lymphedema: A Case Study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Tanhaeivash</surname>
<given-names>Roozbeh</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Franiel</surname>
<given-names>Tobias</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author"><name><surname>Grimm</surname>
<given-names>Marc-Oliver</given-names>
</name>
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<contrib contrib-type="author" corresp="yes"><name><surname>Horstmann</surname>
<given-names>Marcus</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
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<aff id="A1"><label>1</label>
Department of Urology, Friedrich Schiller University, Jena, Germany.</aff>
<aff id="A2"><label>2</label>
Institute of Radiology, Friedrich Schiller University, Jena, Germany.</aff>
<author-notes><corresp>Correspondence to: Marcus Horstmann. Department of Urology, Friedrich Schiller University, Lessing St. 1, 07743 Jena, Germany. Tel: +49-2151-452-278, Fax: +49-2151-452-270, <email>marcushorstmann@gmx.ch</email>
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<pub-date pub-type="ppub"><month>8</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>23</day>
<month>8</month>
<year>2016</year>
</pub-date>
<volume>34</volume>
<issue>2</issue>
<fpage>148</fpage>
<lpage>152</lpage>
<history><date date-type="received"><day>20</day>
<month>2</month>
<year>2016</year>
</date>
<date date-type="rev-recd"><day>03</day>
<month>5</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>18</day>
<month>5</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2016 Korean Society for Sexual Medicine and Andrology</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/4.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/4.0">http://creativecommons.org/licenses/by-nc/4.0</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>We present the first case study of idiopathic gigantic suprapubic lymphedema and buried penis treated with puboscrotal reconstruction in a patient with initial extreme obesity after an extensive weight reduction (120 kg). Massive localized lymphedema of the suprapubic region should be differentiated from the scrotal type. Severe lymphedema could not resolve on its own and weight reduction does not seem to be helpful in such cases.</p>
</abstract>
<kwd-group><kwd>Abdominoplasty</kwd>
<kwd>Adiposity</kwd>
<kwd>Elephantiasis</kwd>
<kwd>Reconstructive surgical procedures</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="F1" orientation="portrait" position="float"><label>Fig. 1</label>
<caption><title>Ventral aspect of the massive localized lymphedema of the suprapubic region prior to surgery.</title>
</caption>
<graphic xlink:href="wjmh-34-148-g001"></graphic>
</fig>
<fig id="F2" orientation="portrait" position="float"><label>Fig. 2</label>
<caption><title>The penile orifice and normal-sized testes can be seen after the mass is moved upwards.</title>
</caption>
<graphic xlink:href="wjmh-34-148-g002"></graphic>
</fig>
<fig id="F3" orientation="portrait" position="float"><label>Fig. 3</label>
<caption><title>A preoperative coronal computed tomography image. Right-pointing thick arrow, an enlarged lymph node; left-pointing arrow, dilated veins; circles, edematous soft tissue; stars, thickened cutis vera.</title>
</caption>
<graphic xlink:href="wjmh-34-148-g003"></graphic>
</fig>
<fig id="F4" orientation="portrait" position="float"><label>Fig. 4</label>
<caption><title>Surgical steps leading to the resection of the mass.</title>
</caption>
<graphic xlink:href="wjmh-34-148-g004"></graphic>
</fig>
<fig id="F5" orientation="portrait" position="float"><label>Fig. 5</label>
<caption><title>Postoperative appearance after ellipsoid tissue resection and puboscrotal reconstruction.</title>
</caption>
<graphic xlink:href="wjmh-34-148-g005"></graphic>
</fig>
</floats-group>
</pmc>
</record>
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