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  • Title: [Giant scrotal lymphedema caused by Milroy's disease].
    Author: Gueglio G, Quijada E, Salas H, Daels P, Tejerizo J, Chernobilsky V, Giúdice C, Damia O.
    Journal: Arch Esp Urol; 2003 Oct; 56(8):949-52. PubMed ID: 14639853.
    Abstract:
    OBJECTIVES: To report a new case of giant scrotal lymphedema due to Milroy's disease, its treatment and outcome. METHODS: A 27-year-old man with generalized congenital lymphedema presented with a giant scrotal mass which interfered with his daily activities and physiological necessities. Physical examination showed a scrotal mass 40 x 40 cm in size and a normal penis. CT scan showed a homogeneous mass, thickened vaginal tunica, and bilateral hydrocele. RESULTS: A surgical procedure was performed including mass resection (5.6 kg), and bilateral hydrocelectomy. Skin defect was covered with skin grafts. CONCLUSIONS: Several therapeutic alternatives have been suggested for Milroy's disease with genital involvement. Nevertheless, when complications are as severe as in the present case, the only valid therapy is surgery.
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