[A case of iatrogenic scrotal elephantiasis: reconstruction of the scrotal purse and the cutaneous sleeve of the penis with local skin flaps].
Scrotal elephantiasis is a pathology of often unknown etiology. Symptomatology is characterized by an oedematius infiltration of skin and subcutaneous tissue, hard-bound aspect and purplished color. The scrotum, the penis and the perineal area are gradually affected. This pathology is very invalidating for the patient, on functional, sexual and aesthetic aspects. The authors present the case of a 58-year-old man with an enormous scrotal mass invading the penis and drowning the testicular elements, which were impossible to palpate. The aetiology was determined by exclusion and an iatrogenic origin following the cure of bilateral inguinal hernia was retained. Resection of the scrotal mass was performed. The reconstruction of the scrotal purse and the cutaneous sleeve of the penis were carried out using local flaps of the remaining healthy skin.
Masia
D-R
DR
Università degli Studi di Sassari, Cattedra di Chirurgia Plastica, V.le San Pietro 43/b, 07100 Sassari, Italie.
Castus
P
P
Delia
G
G
Casoli
V
V
Martine
D
D
D004604:Elephantiasis / Q000209:etiology / Q000601:surgery*; D006552:Hernia, Inguinal / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D010409:Penile Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012611:Scrotum / Q000601:surgery*; D013524:Surgical Flaps