tailieunhanh - Báo cáo y học: "Recurrent furunculosis as a cause of isolated penile lymphedema: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Recurrent furunculosis as a cause of isolated penile lymphedema: a case report. | Al-shaham and Sood Journal of Medical Case Reports 2010 4 196 http content 4 1 196 Ws CASE REPORTS CASE REPORT Open Access Recurrent furunculosis as a cause of isolated penile lymphedema a case report Ali A Al-shaham and Suneet Sood Abstract Introduction Isolated lymphedema of the penis is extremely rare combined involvement of the scrotum and penis is the norm. Furunculosis as a cause is not to our knowledge previously reported. We present a case of isolated penile lymphedema that responded to excision of lymphedematous tissue and reconstruction with flaps. Case presentation A 32-year-old Arab man presented with a three-year history of a gradually increasing painless penile swelling. Our patient s main complaint was non-erectile sexual dysfunction. The swelling was preceded by at least three prior episodes of severe furunculosis at the penile root. He had no other contributory past medical or family history. On examination there was gross penile enlargement maximally at the mid shaft associated with thickened skin at the sites of prior furunculosis. The glans and scrotum were normal. Both testes were palpable. Serology for filariasis and urinary tract ultrasound and computed tomography scan were normal. The clinical diagnosis was lymphedema following recurrent penile furunculosis. At operation the lymphedematous tissues were removed. Closure of the penile shaft was accomplished by bilateral advancement of flaps from both ends of the penis. He resumed normal sexual activity one month after surgery. At 12 months he had a good cosmetic result with no signs of recurrence. Conclusions Furunculosis at the penile root may result in lymphedema confined to the penile shaft sparing the scrotum. Excision of abnormal tissue and cover with a skin flap gave excellent cosmetic results and allowed satisfactory sexual activity. Introduction Although peno-scrotal lymphedema is common isolated penile lymphedema is extremely rare 1 . A .

TÀI LIỆU LIÊN QUAN
crossorigin="anonymous">
Đã phát hiện trình chặn quảng cáo AdBlock
Trang web này phụ thuộc vào doanh thu từ số lần hiển thị quảng cáo để tồn tại. Vui lòng tắt trình chặn quảng cáo của bạn hoặc tạm dừng tính năng chặn quảng cáo cho trang web này.