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Updated: Jul 3, 2026
08:33
Detection of Extravascular Trypanosoma Parasites by Fine Needle Aspiration
Published on: August 7, 2019
Giant penoscrotal filariasis
M A Gafur1, J H Bhuiyan, T Zaman
1Mymensingh Medical College, Mymensingh, Bangladesh. drgafur11@yahoo.com
Mymensingh Medical Journal : MMJ
|July 16, 2008
Summary
A patient with severe scrotal elephantiasis due to lymphatic filariasis underwent successful surgical treatment. The procedure involved scrotum excision and penile repositioning, followed by antibiotic therapy for the parasitic infection.
Area of Science:
- Tropical Medicine
- Parasitology
- Surgical Oncology
Background:
- Lymphatic filariasis is a debilitating parasitic disease causing severe lymphedema.
- Scrotal elephantiasis can lead to significant physical and psychological distress, impacting livelihood and social interaction.
Observation:
- A 42-year-old male presented with a 4-year history of massive scrotal enlargement (36-inch diameter, 40 kg), diagnosed as lymphatic filariasis.
- The patient experienced functional impairment and social withdrawal due to the condition.
Findings:
- Surgical intervention included ligation of spermatic cords, scrotal excision with testicles, and penile repositioning (Fleying procedure).
- Histopathology confirmed scrotal elephantiasis. Post-operative recovery was uneventful, with Doxycycline prescribed for 8 weeks to target symbiotic bacteria in filarial worms.
Implications:
- This case highlights the successful surgical management of extreme scrotal elephantiasis caused by lymphatic filariasis.
- Effective treatment strategies combining surgery and targeted antibiotic therapy are crucial for improving patient outcomes and quality of life.
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