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Penoscrotal lymphangioma circumscriptum following circumcision
Santosh Kumar1, Ankur Mittal1, Abhishek Chandna2
1Department of Urology, Post Graduate Institute of Medical Education And Research (PGIMER), Chandigarh, India.
Turkish Journal of Urology
|November 30, 2018
Summary
A rare case of penoscrotal lymphangioma circumscriptum developed in a 15-year-old boy after circumcision. Surgical excision and histopathology confirmed this unique post-circumcision presentation.
Area of Science:
- Dermatology
- Pediatric Surgery
- Pathology
Background:
- Lymphangioma circumscriptum is a rare congenital malformation of lymphatic vessels.
- Vesicular lesions typically present in the neck, axilla, or trunk.
- Penoscrotal involvement is exceptionally uncommon, particularly in post-pubertal males.
Purpose of the Study:
- To report the first documented case of penoscrotal lymphangioma circumscriptum following circumcision.
- To highlight the diagnostic and management considerations for this rare presentation.
Main Methods:
- Clinical presentation of a 15-year-old male with scrotal and penile vesicular lesions post-circumcision.
- Surgical excision of the affected penoscrotal skin.
- Histopathological examination of the excised tissue.
Main Results:
- Histopathology confirmed the diagnosis of lymphangioma circumscriptum.
- The lesions were localized to the scrotum and penile skin.
- The condition developed subsequent to a circumcision procedure.
Conclusions:
- Penoscrotal lymphangioma circumscriptum can occur as a rare complication after circumcision.
- Early surgical intervention and histopathological confirmation are crucial for diagnosis and management.
- This case expands the known clinical spectrum of lymphangioma circumscriptum.

