1/17. Unusual masses in the spermatic cord: report of six cases and review of the literature.Differential diagnosis of spermatic cord swellings includes direct inguinal hernia, hydrocele, spermatocele, hematocele, lipoma, tuberculosis, and filariasis. This communication focuses attention on other unusual swellings of the spermatic cord. Three cases of sarcoma, two cases of foreign body in the spermatic cord, and one case of vasitis are presented. Although unusual, these conditions should be considered in the differential diagnosis of spermatic cord swellings.- - - - - - - - - - ranking = 1keywords = filariasis (Clic here for more details about this article) |
2/17. Congenital penoscrotal lymphedema complicated by sepsis associated with a streptococcal infection.Congenital lymphedema is a relatively rare disease caused by congenital abnormality of the lymphatic system. Although bacterial infection frequently causes complications with lymphedema, severe sepsis in congenital lymphedema of the genitalia has not yet been reported. We describe a patient with congenital penoscrotal lymphedema complicated by cellulitis, lymphangitis, and severe sepsis associated with a streptococcal infection. This case represents the importance of obtaining a detailed clinical history and physical findings.- - - - - - - - - - ranking = 0.0012096366139649keywords = lymphatic (Clic here for more details about this article) |
3/17. Bilateral groove sign with penoscrotal elephantiasis.lymphogranuloma venereum (LGV) is a sexually transmitted disease of the lymph channels caused by chlamydia trachomatis. Esthiomene, a rare late manifestation of LGV, is a primary infection affecting the lymphatics of scrotum, penis, or vulva. The male genitalia are affected less commonly by esthiomene, but we report a male patient who presented with inguinal syndrome, penoscrotal elephantiasis, along with enlargement of femoral lymph nodes.- - - - - - - - - - ranking = 145.79105679093keywords = elephantiasis, lymphatic (Clic here for more details about this article) |
4/17. Giant scrotal elephantiasis.How much can a man carry? Penoscrotal elephantiasis is a debilitating syndrome. This is a case report of a patient with giant genital elephantiasis secondary to long-standing lymphogranuloma venereum infection in ethiopia. Complete surgical resection of the pathologic tissue and penile reconstruction was undertaken with good cosmetic and functional results.- - - - - - - - - - ranking = 174.94781658518keywords = elephantiasis (Clic here for more details about this article) |
5/17. Idiopathic scrotal elephantiasis.Scrotal lymphedema (scrotal elephantiasis) is a condition that has historically been described in areas endemic to filariasis. We present a unique case of a 22-year-old man with idiopathic lymphedema isolated to the scrotum. After acquired causes of lymphedema were ruled out, the patient was treated with scrotectomy and scrotal reconstruction.- - - - - - - - - - ranking = 146.78984715431keywords = elephantiasis, filariasis (Clic here for more details about this article) |
6/17. Saxophone penis revisited.Saxophone deformity of the penis is commonly secondary to diseases causing chronic lymphatic obstruction. lymphogranuloma venereum (LGV) is an important cause for this deformity. A case of LGV in genito-anorectal syndrome with a saxophone penis is reported along with the contrast-enhanced computed tomography (CECT) findings of anorectal involvement, and a probable hypothesis for this typical appearance of the penis.- - - - - - - - - - ranking = 0.0012096366139649keywords = lymphatic (Clic here for more details about this article) |
7/17. Cutaneous manifestations and massive genital involvement in Hennekam syndrome.We describe a 16-year-old boy with intestinal lymphangiectasia, lymphedema of the limbs and genitalia, mild mental retardation, and facial anomalies (Hennekam syndrome) and cutaneous lesions. Severe edema in the genital area created a gigantic mass that included the scrotum and penis. Numerous grouped red-violaceous pseudo-vesicular lesions and plaques, as well as verrucous brown papules, were present on the penis and scrotum. The prepuce was hypertrophic, with severe phimosis. Histologic analysis revealed dilated lymphatic vessels lined by a discontinuous layer of flat endothelial cells in the papillary dermis and extending down to the reticular dermis. Dilated blood vessels were also present but no cellular abnormalities were identified. A diagnosis of superficial cutaneous lymphatic malformations was made. To the best of our knowledge, this is the first detailed cutaneous histologic investigation in a patient with Hennekam syndrome. We assume that the onset of cutaneous lesions in our patient was likely triggered by a generalized worsening of his lymphedema.- - - - - - - - - - ranking = 0.0024192732279298keywords = lymphatic (Clic here for more details about this article) |
8/17. Reconstruction of male external genitalia with elephantiasis.The surgical rehabilitation of a patient with severely deformed and functionally disabled genitalia due to long-standing lymphedema and infection is described and illustrated. The term "elephantiasis" has been applied to such gross lesions. Appropriate surgery to the penis, scrotum, and perineum has yielded a gratifying result. The principles and techniques of the surgical approach in such an undertaking are presented and discussed.- - - - - - - - - - ranking = 145.78984715431keywords = elephantiasis (Clic here for more details about this article) |
9/17. Genital filariasis in minnesota.Genitourinary filariasis is a well-known entity in most tropical areas. However, filariasis cannot be eliminated from the differential diagnosis of testicular, epididymal, or spermatic cord masses in nontropical climes. We report a case of filariasis of the spermatic cord that manifested as an unexplained scrotal mass in a patient in Rochester, minnesota.- - - - - - - - - - ranking = 7keywords = filariasis (Clic here for more details about this article) |
10/17. Verrucous elephantiasis of the scrotum: an unusual variant of genital lymphedema.Verrucous elephantiasis of the scrotum is a severe debilitating variant of scrotal lymphedema. A case is reported, and its pathophysiology and treatment are discussed.- - - - - - - - - - ranking = 145.78984715431keywords = elephantiasis (Clic here for more details about this article) |
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