Autopsy and Case Reports
https://app.periodikos.com.br/journal/autopsy/article/doi/10.4322/acr.2016.026
Autopsy and Case Reports
Article / Clinical Case Report

Giant lymphedema of the penis and scrotum: a case report

Franklin Vives, Herney Andrés García-Perdomo, Ginna Marcela Ocampo-Flórez

Downloads: 176
Views: 10586

Abstract

Lymphedema of the penis and scrotum is a rare entity characterized by enlargement of the skin and subcutaneous tissue of the genital region due to lymphatic drainage impairment. This clinical condition is more frequent in tropical countries due to a higher incidence of filariasis, which, in turn, is the main etiology. We describe the case of a 33-year-old man with large lymphedema of the scrotum and penis due to an acute and chronic inflammatory process, foreign body granuloma, and marked hyalinization. Four consecutive surgical interventions were necessary to remove the great part of the affected tissue, which enabled satisfactory results and improved the patient’s quality of life.

Keywords

Filariasis, Lymphedema, Penile Diseases, Scrotum

References

1. Godoy JMP, Facio FN Jr, Carvalho ECM, Godoy MFG. New compression mechanism in penile-scrotal lymphedema and sexual rehabilitation. Urol Ann. 2014;6(1):88-90. http://dx.doi.org/10.4103/0974-7796.127025. PMid:24669133.

2. Singh V, Sinha RJ, Sankhwar SN, Kumar V. Reconstructive surgery for penoscrotal filarial lymphedema: a decade of experience and follow-up. Urology. 2011;77(5):1228-31. http://dx.doi.org/10.1016/j.urology.2010.10.026. PMid:21256561.

3. Al-Shaham AA, Sood S. Recurrent furunculosis as a cause of isolated penile lymphedema: a case report. J Med Case Reports. 2010;4(1):196. http://dx.doi.org/10.1186/1752-1947-4-196. PMid:20584337.

4. Naimer SA, Trattner A. Transient idiopathic primary penoscrotal edema. Indian J Dermatol. 2013;58(5):408. http://dx.doi.org/10.4103/0019-5154.117340 . PMid:24082210.

5. Thejeswi P, Prabhu S, Augustine AJ, Ram S. Giant scrotal lymphoedema: a case report. Int J Surg Case Rep. 2012;3(7):269-71. http://dx.doi.org/10.1016/j.ijscr.2012.03.005. PMid:22504481.

6. Ji R-C. Lymphatic endothelial cells, lymphedematous lymphangiogenesis, and molecular control of edema formation. Lymphat Res Biol. 2008;6(3-4):123-37. http://dx.doi.org/10.1089/lrb.2008.1005. PMid:19093784.

7. Reitsma W, Wiegman MJ, Damstra RJ. Penile and scrotal lymphedema as an unusual presentation of Crohn’s disease: case report and review of the literature. Lymphology. 2012;45(1):37-41. PMid:22768472.

8. Carrasco López C, Torremadé Barreda J, Palacín Porté JA, Franco Miranda E, Viñals Viñals JM. Linfedema escrotal gigante. Cirugía Plástica Ibero-Latinoamericana. Reparadora y Estética. 2013;39(2):187-91.

9. Fernández RCG, Rodríguez RF, Iglesias IS, Carballo CF. Elefantiasis genital. Galicia Clin. 2011;72(3):129-30.

10.Pastor C, Granick MS. Scrotal lymphedema. Eplasty. 2011;11:ic15. PMid:22184510.

11.Recalde-Losada C, Rubio-Verdú R, Solesio-Pilarte F, Lorda-Barraguer E, Lobato JJ. Abordaje quirúrgico de la elefantiasis escrotal a propósito de dos casos graves. Cir. Plást. Iberolatinoam. 2014;40(2):205-12. http://dx.doi.org/10.4321/S0376-78922014000200010.

12.Champaneria MC, Workman A, Kao H, Ray AO, Hill M. Reconstruction of massive localised lymphoedema of the scrotum with a novel fasciocutaneous flap: A rare case presentation and a review of the literature. J Plast Reconstr Aesthet Surg. 2013;66(2):281-6. http://dx.doi.org/10.1016/j.bjps.2012.06.024. PMid:22867984.

13.Díaz-Menéndez M, Norman F, Monge-Maillo B, Pérez- Molina JA, López-Vélez R. Las filariasis en la práctica clínica. Enferm Infecc Microbiol Clin. 2011;29(Suppl 5):27-37. http://dx.doi.org/10.1016/S0213-005X(11)70041-6. PMid:22305667.

14.Parmar HD. The surgical approach in huge scrotal lymphedema. Int J Med Sci Public Health. 2013;2(1):153-5. http://dx.doi.org/10.5455/ijmsph.2013.2.153-155.

15.Sapountzis S, Ciudad P, Lim SY,  et al. Modified Charles procedure and lymph node flap transfer for advanced lower extremity lymphedema. Microsurgery. 2014;34(6):439-47. http://dx.doi.org/10.1002/micr.22235. PMid:24677042.

16.Machol JA 4th, Langenstroer P, Sanger JR. Surgical reduction of scrotal massive localized lymphedema (MLL) in obesity. J Plast Reconstr Aesthet Surg. 2014;67(12):1719-25. http://dx.doi.org/10.1016/j.bjps.2014.07.031. PMid:25153425.

17.Streem SB, Novick AC, Pontes JE. Stewart’s operative urology. 2nd ed. Baltimore: Williams & Wilkins; 1989. chapt. 72 . vol. 2.


Publication date:
04/01/2016

56fe7d755ce02a9738000000 autopsy Articles
Links & Downloads

Autops Case Rep

Share this page
Page Sections