Penoscrotal lymphangioma circumscriptum following circumcision

Abstract

Ali Serdar Gözen, et al.; Robot-assisted vasovasostomy and vasoepididymostomy: Current status and review of the literature.

Acquired scrotal lymphangioma circumscriptum following varicocele surgery: A case report and literature review

“…Acquired form can develop following local damage to lymphatic channels secondary to infections and inflammation involving lymphatics (filariasis, tuberculous lymphadenitis, donovanosis, and lympho‐granuloma‐venereum), trauma, surgery, or radiotherapy 4,6,7 . Acquired LC involving scrotum is very rare 6,8‐10 . Lesions are asymptomatic to begin with, but later get infected due to frequent rupture of vesicles and thus the discomfort brings the patient to dermatologist.…”

“…4,6,7 Acquired LC involving scrotum is very rare. 6,[8][9][10] Lesions are asymptomatic to begin with, but later get infected due to frequent rupture of vesicles and thus the discomfort brings the patient to dermatologist. We present a case of acquired scrotal lymphangioma circumscriptum following varicocele surgery, which has not been reported before.…”

Acquired Lymphangioma Circumscriptum Post-neonatal Circumcision

“… 3 LC involves the thighs, buttocks, groin, and axilla; rarely involving the genitalia such as the scrotum. 4 , 5 Infectious etiologies such as molluscum contagiosum, filariasis, and condylomata accuminata must be ruled out. 1 LC is generally a benign disease, but reports of lymphangiosarcoma and malignant transformation to squamous cell carcinoma have been reported in a long-standing history of LC.…”

“…Although less invasive treatment modalities such as cryotherapy, sclerotherapy, and radiofrequency ablation are utilized, surgical resection of the deep lymphatic cisterns represents the only definitive cure. 7 Kumar et al 5 presented the first case of penoscrotal LC, acquired four months following circumcision. This was treated with excessive surgical resection, followed by raising flaps and a split-thickness skin graft.…”

“…A potential cause for acquired LC, postcircumcision, could be secondary to manhandling of tissues; yet the exact pathophysiology remains indeterminate. 5 Failure of adequate excision leads to recurrence in 25-50% of cases, within 3 months. 4 …”