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Recurrent unilateral vulval elephantiasis: a case report.

Lakshmidevi Muralidhar1, Sampath Kumar G1, Shreedhar Venkatesh1

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Recurrent vulval elephantiasis, a rare condition causing lymphatic blockage, can reoccur even after surgery. This case highlights the challenges in managing this progressive lymphatic disorder.

Keywords:
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Area of Science:

  • Gynecology
  • Vascular Surgery
  • Dermatology

Background:

  • Genital elephantiasis results from lymphatic system blockage due to various causes.
  • It can lead to significant swelling and disfigurement of genital tissues.

Observation:

  • A rare case of recurrent unilateral vulval elephantiasis in a 38-year-old female is presented.
  • The condition recurred despite previous reconstructive surgery.
  • Clinical examination revealed gross unilateral vulval enlargement.

Findings:

  • Fine needle aspiration cytology (FNAC) and biopsy aided in diagnosis.
  • Infection was managed with antibiotics and daily dressings.
  • The patient was scheduled for further reconstructive surgery.

Implications:

  • This case underscores the complex and recurrent nature of vulval elephantiasis.
  • Effective management strategies for recurrent cases require further investigation.
  • Understanding the underlying causes is crucial for improved patient outcomes.