Abstract
IntroductionLymphangioma circumscriptum is a rare benign skin disorder involving hamartomatous lymphatic malformation of deep dermal and subcutaneous lymphatic channels. It is a therapeutic challenge for the dermatologist when it occurs at common sites such as axilla, shoulder, groin and buttocks and a diagnostic challenge for the surgeon when it occurs at rare sites such as the scrotum. Surgical treatment is the most commonly used method to treat scrotal lymphangioma circumscriptum but there are high rates of recurrence.Case presentationWe report the case of a 30-year-old Pakistani man who presented with scrotal swelling which was clinically misinterpreted as an infectious disorder. Later on re-resection of deeper tissue was performed to prevent recurrence. He is still being followed-up on a regular basis.ConclusionAwareness of the occurrence of lymphangioma circumscriptum in the scrotum in adult men without prior disease is mandatory to avoid missing the diagnosis and to ensure proper treatment.
Highlights
Lymphangioma circumscriptum is a rare benign skin disorder involving hamartomatous lymphatic malformation of deep dermal and subcutaneous lymphatic channels
We report the case of a patient who presented with scrotal swelling which was clinically misinterpreted as an infectious disorder
Case presentation A 30-year-old Pakistani man presented to our general surgery outpatient department with a complaint of a slow growing painless scrotal swelling present for the past two years
Summary
Lymphangioma circumscriptum (LC) is a rare benign skin disorder involving hamartomatous lymphatic malformation of deep dermal and subcutaneous lymphatic channels. We report the case of a patient who presented with scrotal swelling which was clinically misinterpreted as an infectious disorder. The patient had no significant past medical or surgical history and the cause of his rare scrotal LC remained unidentified. Case presentation A 30-year-old Pakistani man presented to our general surgery outpatient department with a complaint of a slow growing painless scrotal swelling present for the past two years. His lesion was itchy and no discharge was present. Clinical diagnosis of an infectious disorder such as molluscum contagiosum was made He had no significant past medical history of sexually transmitted disease or surgical procedure in that particular area. He has been free of complaints during five post-operative months
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