Successful surgical treatment of giant scrotal lymphedema associated with Hodgkin's lymphoma: A rare case report

Abstract

Scrotal lymphedema is a rare disease, caused by obstruction of the lymphatic vessels draining into the scrotum, and may be induced by malignant lymphoma. A 27-year-old male, who was treated for Hodgkin's lymphoma, presented with scrotal swelling for 3 years. We observed huge scrotal swelling with extension to the suprapubic region and lower right limb, a significantly thickened scrotal wall, and nonpalpable testes. The patient underwent scrotal lymphedema excision followed by surgical scrotal and penile reconstruction. Treatment of scrotal lymphedema is challenging. However, we were satisfied with our surgical result. Our patient experienced both physical and psychological improvements.

Giant scrotal lymphedema after paraffinoma injection: A case report

“…In general, all patients who underwent surgical therapy experienced significant improvements in their quality of life, penile feeling, and sexual intercourse. 2 , 5 In addition, the patient experienced minimal pain and was delighted with the outcome, and improved appearance within a 2–3 year period after the surgery. In our situation, surgical excision was unquestionably required because histopathological investigation revealed angiomyxoma and granulomatous inflammatory reaction.…”

“…The restriction of lymphatic flow produces ductal dilatation, as well as connective tissue hypertrophy and hyperplasia, interstitial edema, and chronic inflammation. 2 …”

“…While the cause of lymphedema influences care, once fibrosis develops, resectional therapy is usually required. 2 , 5 Furthermore, treating these instances is frequently difficult for surgeons. Surgical excision, on the other hand, can be a viable alternative.…”

“…Limitation in physical activities as well as psychological discomfort in sufferers are two considerable symptoms when the disease becomes large enough. 1 , 2 We present a case of giant scrotal lymphedema that arises after paraffinoma injection.…”