Lymphangioma circumscriptum of the scrotum following vasectomy

Abstract

Lymphangioma circumscriptum is a congenital lymphatic hamartoma and rarely occurs in the male genital organs. Here we report a case of acquired lymphangioma circumscriptum of scrotum following vasectomy, which has not been reported till date. High clinical suspicion index is the clue to the clinician for diagnosis; histopathological confirmation and adequate surgical excision with deep lymphatic cisterns give the best result.

Acquired lymphangiectasia of the glans following circumcision

“…The condition, especially in the genital region, is difficult to diagnose. Pal et al reported a case of AL circumscriptum of the scrotum within two weeks after the vasectomy operation [3]. Similarly, the lesions in our patient occurred on the glans as asymptomatic grouped vesicles within 2 weeks after circumcision.…”

Idiopathic adult onset Lymphangioma circumscriptum of scrotum: An unusual case Scrotal lymphangioma circumscriptum

“…Acquired LC develops in advanced age, possibly due to injury to deep collecting lymphatics, caused by trauma, surgery, radiotherapy or infections such as filariasis, lymphogranuloma venereum, donovanosis or tuberculosis [5]. LC is clinically identified by translucent or hazy vesicles of different sizes which are grouped like frog spawn or, less commonly, as diffuse swelling to a particular area.…”

“…LC is clinically identified by translucent or hazy vesicles of different sizes which are grouped like frog spawn or, less commonly, as diffuse swelling to a particular area. These swellings frequently have accompanying verrucous alterations giving them a warty appearance and, if there is significant hyperkeratosis, the swelling may clinically resemble lymphogranuloma venereum [5]. A strong clinical suspicion is needed for diagnosis of this disease with histopathological confirmation.…”

Lymphangioma circumscriptum of the male genitalia

“…Various treatment modalities are available such as radiofrequency ablation, sclerotherapy, ablative lasers, and surgical excision of both the superficial as well as deep components to prevent recurrence of lesion which is the most common postoperative complication with recurrence rate up to 25–50% in the 1 st 3 months. [ 1 3 ]…”