Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_367»
«MEDICAL WRITING: CASE ABSTRACT_367»
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Recurrent furunculosis as a
cause of isolated penile lymphedema: a case report
Isolated lymphedema of the penis
is extremely rare: combined involvement of the scrotum and penis is the norm.
Furunculosis as a cause is not, to our knowledge, previously reported. We
present a case of isolated penile lymphedema that responded to excision of
lymphedematous tissue and reconstruction with flaps.
A 32-year-old Arab man presented
with a three-year history of a gradually increasing, painless penile swelling.
Our patient's main complaint was non-erectile sexual dysfunction. The swelling
was preceded by at least three prior episodes of severe furunculosis at the
penile root. He had no other contributory past medical or family history. On
examination there was gross penile enlargement, maximally at the mid shaft,
associated with thickened skin at the sites of prior furunculosis. The glans
and scrotum were normal. Both testes were palpable. Serology for filariasis,
and urinary tract ultrasound and computed tomography scan were normal. The
clinical diagnosis was lymphedema following recurrent penile furunculosis. At
operation the lymphedematous tissues were removed. Closure of the penile shaft
was accomplished by bilateral advancement of flaps from both ends of the penis.
He resumed normal sexual activity one month after surgery. At 12 months, he had
a good cosmetic result, with no signs of recurrence.
Furunculosis at the penile root
may result in lymphedema confined to the penile shaft, sparing the scrotum.
Excision of abnormal tissue and cover with a skin flap gave excellent cosmetic
results, and allowed satisfactory sexual activity.
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