Lymphoscintigraphic Appearance of Scrotal Lymphatic Reflux in a Patient With Idiopathic Genital Lymphedema

A 25-year-old, single man presented with penile and scrotal swelling and leakage of fluid from his scrotal skin for the last 12 years. On physical examination, the penile and scrotal skin was diffusely thickened as a result of lymphedema. There were multiple lymphangiomas, which caused eruptions and...

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Bibliographic Details
Published in:Clinical nuclear medicine 2005-12, Vol.30 (12), p.835-837
Main Authors: Sukan, Aysun, Yaycioglu, Ozgur, Aydin, Mehmet, Yapar, A Fuat, Kizilkilic, Osman, Reyhan, Mehmet
Format: Article
Language:English
Subjects:
Adult
Genital Diseases, Male - diagnostic imaging
Humans
Lymph - diagnostic imaging
Lymph Nodes - diagnostic imaging
Lymphedema - diagnostic imaging
Male
Penis - diagnostic imaging
Radionuclide Imaging
Scrotum - diagnostic imaging
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Summary:A 25-year-old, single man presented with penile and scrotal swelling and leakage of fluid from his scrotal skin for the last 12 years. On physical examination, the penile and scrotal skin was diffusely thickened as a result of lymphedema. There were multiple lymphangiomas, which caused eruptions and erythema on the scrotum, and the scrotal skin was wet with leaking lymph fluid. He had no history of surgery, radiation therapy, malignancy, or sexually transmitted disease. Lymphoscintigraphy showed abnormal reflux to the scrotum from the inguinal lymphatics. The patient was diagnosed with idiopathic genital lymphedema and treated with excision of the involved tissue followed by skin graft reconstruction.
ISSN:0363-9762
1536-0229
DOI:10.1097/01.rlu.0000187512.34963.eb