title: Isolated penile lymphedema in an adolescent male: a case of metastatic Crohn's disease.
abstract: OBJECTIVE
  Metastatic Crohn's disease is a rare and complex inflammatory condition distinguished by cutaneous granulomatous lesions outside the gastrointestinal tract. Genital involvement is rare; with less than 10 cases reported involving isolated penile lymphedema. Here, we present a case of isolated lymphedema of the penis as a consequence of extra-intestinal Crohn's disease.
  
  
  METHODS
  The patient is an 18-year-old African American male with a complex history of inflammatory bowel disease, who initially presented with a chief complaint of 6 weeks of swelling of his penis at age 13. A modified circumcision and lymphangectomy of the penis were performed; histopatholgy demonstrated a granulomatous infiltrate and interstitial edema of the distal penis.
  
  
  CONCLUSIONS
  Surgical intervention is an applicable therapeutic alternative and last-line therapy for treatment of isolated penile lymphedema in select patients with appropriate pathology, and can be a suitable adjunct to medical management in these cases.
authors.affiliation: Thomas Jefferson University Hospital, Philadelphia, PA 19106, USA. Daniel.Sackett@jeffersonhospital.org
authors.forename: D D
authors.initials: DD
authors.lastname: Sackett
authors.forename: J S
authors.initials: JS
authors.lastname: Meshekow
authors.forename: T E
authors.initials: TE
authors.lastname: Figueroa
authors.forename: J A
authors.initials: JA
authors.lastname: Napoli
mesh_terms: D000293:Adolescent; D003424:Crohn Disease / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D006801:Humans; D008209:Lymphedema / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D010409:Penile Diseases / Q000175:diagnosis / Q000209:etiology*; D010413:Penis / Q000473:pathology*