Med Bull Sisli Etfal Hosp. Accepted Articles: SETB-55955 | DOI: 10.14744/SEMB.2025.55955

Idiopathic Scrotal Elephantiasis: Case Report of a Rare Occurrence

Busra Guclu, Burak Tunahan Ekincikli, Sabri Ozturk, Kamuran Zeynep Sevim
Department of Plastic Reconstructive and Esthetic Surgery, University of Health Sciences Türkiye, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Türkiye

Idiopathic scrotal elephantiasis is a rare yet physically and psychologically debilitating condition characterized by chronic lymphedema of the scrotum. This case report portrays an 18-year-old male with progressive scrotal enlargement over seven years. Applied to our clinic for causing discomfort and occasional discharge, clinical examination of the patient revealed scrotal edema without systemic involvement. Diagnostic imaging excluded other pathologies. Surgical intervention was planned for treatment, and 1.2 kg of excess tissue was meticulously excised while preserving the testes and spermatic cords. No complications were observed during the postoperative recovery period that necessitated a secondary surgical intervention.
Treatment options of idiopathic scrotal elephantiasis range from conservative management such as elevation, compression therapy, and skin care, to surgical interventions such as vascularized lymph node transfer (VLNT) and lymphaticovenous anastomosis (LVA) in addition to tissue excision. This case report aims to underline significance of early diagnosis, tailored treatment, and comprehensive postoperative care.

Keywords: Idiopathic scrotal elephantiasis, lymphaticovenous anastomosis (LVA), lymphedema, scrotal enlargement, scrotal lymphedema, vascularized lymph node transfer (VLNT)

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Ýdiyopatik Skrotal Elefantiyazis: Nadir Bir Bulgunun Olgu Sunumu

Busra Guclu, Burak Tunahan Ekincikli, Sabri Ozturk, Kamuran Zeynep Sevim
Türkiye Saðlýk Bilimleri Üniversitesi, Þiþli Hamidiye Etfal Eðitim ve Araþtýrma Hastanesi, Plastik Rekonstrüktif ve Estetik Cerrahi Kliniði, Ýstanbul

Ýdiopatik skrotal elefantiyazis, skrotumun kronik lenfödemi ile karakterize, hastayý fiziksel ve psikolojik olarak yýpratabilen, ender gözlemlenen bir durumdur. Bu olgu raporu, yedi yýl boyunca ilerleyici skrotal geniþleme yaþayan 18 yaþýnda bir erkek hastayý anlatmaktadýr. Kliniðimize skrotal alanda rahatsýzlýk ve ara sýra meydana gelen akýntý þikayetleriyle baþvuran hastanýn klinik muayenesinde sistemik bir katýlým olmaksýzýn skrotal ödem tespit edilmiþtir. Tanýsal görüntüleme diðer patolojileri dýþlamýþtýr. Tedavi için cerrahi müdahale planlanarak testisler ile spermatik kordlarýn korunduðu bir operasyon ile 1.2 kg'lýk fazla doku titizlikle çýkarýlmýþtýr. Postoperatif iyileþme döneminde ek bir cerrahi müdahale gerektiren herhangi bir komplikasyon gözlenmemiþtir.
Ýdiopatik skrotal elefantiyazis hastalýðýnýn tedavi seçenekleri, ekstremite elevasyonu, kompresyon terapisi ve cilt bakýmý gibi konservatif yaklaþýmlardan, damarlandýrýlmýþ lenf nodu transferi (VLNT) ve lenfatikovenöz anastomoz (LVA) gibi cerrahi müdahalelere ve doku eksizyonuna uzanmaktadýr. Bu olgu raporu, erken teþhisin, kiþiye özel tedavinin ve kapsamlý postoperatif bakýmýn önemini vurgulamayý amaçlamaktadýr. (SETB-2024-12-215)

Anahtar Kelimeler: Ýdiopatik skrotal elefantiyazis, lenfatikovenöz anastomoz (LVA), lenfödem, skrotal geniþleme, skrotal lenfödem, vaskülerize lenf nodu transferi (VLNT)

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