Clinical Report: Scrotal Elephantiasis Resulting from Hidradenitis Suppurativa
Overview
This report presents a rare case of scrotal elephantiasis due to hidradenitis suppurativa in a 34-year-old male. The patient underwent successful surgical excision, highlighting the importance of early intervention in managing this debilitating condition.
Background
Genital elephantiasis is a rare condition often resulting from chronic lymphatic dysfunction, typically associated with filarial infections but also linked to inflammatory conditions like hidradenitis suppurativa (HS). Scrotal involvement from HS is exceptionally rare and can lead to significant morbidity. Understanding this condition is crucial for timely diagnosis and intervention to improve patient outcomes.
Data Highlights
The patient presented with a scrotal mass measuring 20 × 16 × 6 cm, weighing approximately 6 kg, with histopathology showing reactive fibromyxoid changes.
Key Findings
Scrotal elephantiasis is a rare complication of hidradenitis suppurativa.
The patient had long-standing, treatment-refractory HS affecting multiple body areas.
Surgical excision via en bloc resection was performed, preserving both testes and spermatic cords.
Histopathological examination revealed no evidence of malignancy.
Early recognition and surgical intervention are critical to restore function and quality of life.
Clinical Implications
Healthcare professionals should consider hidradenitis suppurativa as a potential cause of scrotal elephantiasis in patients with chronic inflammatory skin conditions. Timely surgical intervention can significantly improve patient quality of life and prevent further complications.
Conclusion
This case underscores the rarity of scrotal elephantiasis due to hidradenitis suppurativa and the necessity for early surgical intervention to manage advanced lymphatic disease effectively.
