Abstract
BackgroundScrotal lymphedema is rare outside endemic filariasis regions in Africa and Asia. It is of variable origin in the western world.Case presentationWe 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.ConclusionIn 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.
Highlights
Scrotal lymphedema is rare outside endemic filariasis regions in Africa and Asia
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
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
Summary
Termed elephantiasis, can be caused by obstruction, aplasia or hypoplasia of lymphatic vessels. It is usually caused by acquired infection e.g. lymphogranuloma venereum or filarial infestation with Wuchereria bancrofti. Primary lymphedema i.e. congenital elephantiasis, is an extremely rare condition. Case report In April 2005, a 40-year-old Caucasian male was admitted to the Department of Urology of the University of Regensburg, Germany, with massive scrotal elephantiasis. He had been undergoing antibiotic treatment in another hospital for the previous three weeks. Wound healing was achieved with acceptable cosmetic results and only moderate distortion of the penis (figure 2)
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