Massive penoscrotal and bilateral lower limb lymphedema in a young African: a case report
Authors
Emmanuel Oladayo Folami, Oluwatosin Stephen Ilori, Adesoji Adebayo Adelekan, Ayodeji Joshua Oluwatominiyi, Ibukunoluwa Ifedayo Adeoye, Eyitayo Okikiade Alade, Adegboyega Segun Afolabi, Peter Babatunde OlaitanFiles
Key Information
Journal
Published in Vol. 7 No. 1 (2024) of Western Nigeria Journal of Medical Sciences.
WNJMS is published by UNIOSUN Teaching Hospital, Osun State, Nigeria (the training institution of Osun State University, Osogbo, Nigeria). The journal is a peer-reviewed, open-access publication of scholarly research in all fields of medical and health profession.
About the JournalAbstract
Introduction
Lymphedema is a challenging disorder characterised by swelling and fibrosis of the skin and subcutaneous tissue due to obstruction of the lymphatic drainage. The penoscrotal area is sometimes affected with untoward clinical and psychosocial effect on both patients and relatives. Rarely, the external genitalia and the extremities may both be affected as seen in our index patient.
Case report
We report the case of a 23-year-old man with massive penoscrotal lymphedema and bilateral lower limb lymphedema who had surgical excision and reconstruction with the remnant normal tissue.
Conclusion
Massive penoscrotal lymphedema with bilateral lower limb lymphedema is a rare occurrence and very few has been reported in the literature especially in Sub-Saharan Africa.
References
Shimony A, Tidhar D. Lymphedema: A Comprehensive Review. Ann Plast Surg. 2008; 60:223–9.
Szuba A, Shin WS, Strauss HW, Rockson S. The third circulation: Radionuclide evaluation of lymphedema. J Nucl Med. 2003; 44:43–5.
Modolin M, Mitre AI, da Silva JCF, Cintra W, Quagliano AP, Arap S et al. Surgical treatment of lymphedema of the penis and scrotum. Clinics. 2006; 61(4):289–94.
Salako AA, Olabanji JK, Oladele AO, Alabi GH, Adejare IE, David RA. Surgical Reconstruction of Giant Penoscrotal Lymphoedema in Sub-Saharan Africa. Urology. 2018; 112:181-185.
Rahman GA, Adigun IA, Yusuf IF, Aderibigbe AB, Etonyeaku AC. Giant scrotal lymphedema of unclear etiology. J Med Case Rep. 2009; 3:7295.
Thejeswi P, Prabhu S, Augustine AJ, Ram S. Giant scrotal lymphedema- a case report. Int J Surg Case Rep. 2012; 3:269–71.
Fabrice LM, Ocloo J, Wapembe E, Pierre KB, Bienvenue HM, Ericson M. Idiopathic congenital lymphedema in a 9 year old girl: a case report. Am J Surg case reports. 2023; 4(10):1098.
Wananukul S, Jittitaworn S. Primary congenital lymphedema involving all limbs and genatalia. J Med Assoc Thai. 2005; 88(12):1958–61.
Holman M, Arnold G, Walton N, Jurkiewicz J. Reconstruction of male genitalia with elephantiasis. Urology. 1977; 10:576–8.
Balik E, Eren T, Bulut T, Büyükuncu Y, Bugra D, Yamaner S. Surgical approach tois suppurativa in the perineal/perianal and gluteal regions. World J Surg. 2009; 33:481–5.
Ballo B, Dembele O, Remi A, Traore S, Ongoiba S, Kone O, et al. Discovery of scrotal elephantiasis during a free surgical treatment campaign for adult hydocoeles at Koutiala Reference Health Centre. East African Sch J Med Sci. 2023; 6(6):300–3.
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