FILARIAL SCROTAL TUMOR
| Autor: | Digamber choubey, Ranjan George Baxla, Rajeev Ranjan, Shyam Sunder Sahu, Sinha C.P, Prabhat Kumar, Mritunjay Mundu, R C Besra |
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| Rok vydání: | 2013 |
| Předmět: | |
| Zdroj: | Journal of Evolution of Medical and Dental Sciences. 2:3171-3174 |
| ISSN: | 2278-4802 2278-4748 |
| DOI: | 10.14260/jemds/678 |
| Popis: | Filariasis caused by the nematode Wuchereria Bancrofti is a public health and socioeconomic problem in tropical and sub-tropical countries. The clinical manifestations depend upon the course of infection in the human host and the worm load. It is a rarity to document filarial worms in histopathology from the testes. We present a giant filarial scrotum of size 30 kg in weight. INTRODUCTION: Lymphatic filariasis is a major health problem in India with a large number of patients tending to be asymptomatic. Genital filariasis in India more commonly presents as a secondary vaginal hydrocele with an associated epididymo-orchitis. CASE REPORT: A 40y/M, from jhalda, farmer by occupation. No history of trauma associated. c/o: Scrotal swelling for 8yrs.patient gave history of progressive increase in the size of swelling from football size to present size. During initial period of disease patient sometimes had rise in body temperature, malaise and tenderness in the swelling but with progression of disease the all symptoms vanished. O/E: swelling is 38into 34cm in size, ovoid in shape, you can get above the swelling. The swelling was non-reducible. Coughing impulse is absent. Skin above the swelling was wrinkled, Penis was buried. Cord was thickened, testis not palpable. Swelling was oval in shape hard in consistency, non-tender, with no rise in local temperature, no translucency; reducibility. USG: suggest Filarial scrotal tumour With the patient in a modified lithotomy position, we excised the lymphedematous mass with a U-shaped incision. The neo-scrotum was made by anterior and posterior flaps. Both testes have been preserved. Reduction scrotoplasty has been done. A romovac drain was put in pouches prepared for the testicles. Postoperative period was uneventful mass was send for histopathological examination. Patient was followed for 6 month for recurrence. |
| Databáze: | OpenAIRE |
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