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Scroto-perineal hidradenitis suppurativa complicated by giant scrotal elephantiasis.

Alharbi B, Shlash A, Bedaiwi K, Hooti QA, Almohaisen A, Shlash S, Said M - Urol Ann (2015 Apr-Jun)

Bottom Line: HS, also known as acne inversa, is a chronic and often debilitating disease primarily affecting the axillae, inframammary regions and perineum.The location of the lesions may lead to social embarrassment and failure to seek medical treatment.Excisional surgery with reconstruction is the recommended treatment with a high likelihood of good outcome.

View Article: PubMed Central - PubMed

Affiliation: Departments of Urology and Plastic Surgery, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.

ABSTRACT
Scrotal elephantiasis has been a recognized complication of inguinal node irradiation, filarial infection, tumor involvement and surgical lymphatic destruction, but has rarely been reported in association with hidradenitis suppurativa (HS). HS, also known as acne inversa, is a chronic and often debilitating disease primarily affecting the axillae, inframammary regions and perineum. The location of the lesions may lead to social embarrassment and failure to seek medical treatment. Scroto-preineal HS complicated by scrotal elephantiasis is a distressing disease. Excisional surgery with reconstruction is the recommended treatment with a high likelihood of good outcome. We present a 38-year-old male patient with long-standing scroto-perineal HS complicated by giant scrotal elephantiasis.

No MeSH data available.


Related in: MedlinePlus

Involved skin of the suprapubic area, both groins, adjacent inner sides of the thighs, scrotum and scrotoperineum, thick, indurated, scarred, scattered sinuses discharging pus
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Figure 1: Involved skin of the suprapubic area, both groins, adjacent inner sides of the thighs, scrotum and scrotoperineum, thick, indurated, scarred, scattered sinuses discharging pus

Mentions: Clinical examination revealed massive scrotal elephantiasis almost reaching the knees and totally engulfing the penis. Urine was noted as coming from a deep pit on the dorsal aspect of the scrotum. Testis and spermatic cords were not palpable. The skin of the suprapubic area, both groins, adjacent inner sides of the thighs, scrotum and scrotoperineum were covered with thick, indurated, scarred, non-pitting nodules, without crepitus and with a few scattered sinuses that were discharging pus, resulting in poor hygiene and offensive smell [Figure 1]. Both axillae were also involved, but to a lesser extent.


Scroto-perineal hidradenitis suppurativa complicated by giant scrotal elephantiasis.

Alharbi B, Shlash A, Bedaiwi K, Hooti QA, Almohaisen A, Shlash S, Said M - Urol Ann (2015 Apr-Jun)

Involved skin of the suprapubic area, both groins, adjacent inner sides of the thighs, scrotum and scrotoperineum, thick, indurated, scarred, scattered sinuses discharging pus
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4374274&req=5

Figure 1: Involved skin of the suprapubic area, both groins, adjacent inner sides of the thighs, scrotum and scrotoperineum, thick, indurated, scarred, scattered sinuses discharging pus
Mentions: Clinical examination revealed massive scrotal elephantiasis almost reaching the knees and totally engulfing the penis. Urine was noted as coming from a deep pit on the dorsal aspect of the scrotum. Testis and spermatic cords were not palpable. The skin of the suprapubic area, both groins, adjacent inner sides of the thighs, scrotum and scrotoperineum were covered with thick, indurated, scarred, non-pitting nodules, without crepitus and with a few scattered sinuses that were discharging pus, resulting in poor hygiene and offensive smell [Figure 1]. Both axillae were also involved, but to a lesser extent.

Bottom Line: HS, also known as acne inversa, is a chronic and often debilitating disease primarily affecting the axillae, inframammary regions and perineum.The location of the lesions may lead to social embarrassment and failure to seek medical treatment.Excisional surgery with reconstruction is the recommended treatment with a high likelihood of good outcome.

View Article: PubMed Central - PubMed

Affiliation: Departments of Urology and Plastic Surgery, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.

ABSTRACT
Scrotal elephantiasis has been a recognized complication of inguinal node irradiation, filarial infection, tumor involvement and surgical lymphatic destruction, but has rarely been reported in association with hidradenitis suppurativa (HS). HS, also known as acne inversa, is a chronic and often debilitating disease primarily affecting the axillae, inframammary regions and perineum. The location of the lesions may lead to social embarrassment and failure to seek medical treatment. Scroto-preineal HS complicated by scrotal elephantiasis is a distressing disease. Excisional surgery with reconstruction is the recommended treatment with a high likelihood of good outcome. We present a 38-year-old male patient with long-standing scroto-perineal HS complicated by giant scrotal elephantiasis.

No MeSH data available.


Related in: MedlinePlus