scrotal elephantiasis


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scrotal elephantiasis

Swelling of the scrotum, usually as a result of infection of the pelvic lymphatics by filaria. Synonym: chyloderma
See also: elephantiasis
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We report 2 cases of idiopathic scrotal elephantiasis in Canadian citizens with no history of travel to endemic filariasis regions, malignancy, surgery or radiation.
Abdominal-pelvic computed tomography showed no evidence of lymphadenopathy or malignancy throughout abdomen and pelvis in keeping with idiopathic scrotal elephantiasis.
The grading was carried out using the following criterion: Hydrocele 0 = normal, 1 = 6-7 cm, 2 = 8-11 cm, 3 = 12-15 cm, 4 = >15 cm; limb elephantiasis 0 = normal, 1 = loss of contour (lymphoedema), 2 = thickened skin, loss of elasticity, 3 = evident elephantiasis, deep skin folds, wart-like skin; scrotal elephantiasis 0 = normal, 1 = lymphoedema, 2 = thickened scrotal skin, loss of elasticity, 3 = evident elephantiasis.
Three chronic manifestations of Bancroftian filariasis, hydrocele, limb elephantiasis and scrotal elephantiasis were observed.
Other presenting features include as scrotal elephantiasis and gangrene (6).