Open Access
Scroto-perineal hidradenitis suppurativa complicated by giant scrotal elephantiasis
Author(s) -
Badr Alharbi,
Ahmed Shlash,
Khaled Bedaiwi,
Qais Al Hooti,
Abdulrahman Almohaisen,
Saud Shlash,
Mohammad Said
Publication year - 2015
Publication title -
urology annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/0974-7796.152945
Subject(s) - elephantiasis , medicine , hidradenitis suppurativa , perineum , surgery , dermatology , vulvectomy , lymphedema , apocrine , vulva , disease , vulvar cancer , cancer , filariasis , pathology , breast cancer , helminths , immunology , anatomy
Scrotal elephantiasis has been a recognized complication of inguinal node irradiation, filarial infection, tumor involvement and surgical lymphatic destruction, but has rarely been reported in association with hidradenitis suppurativa (HS). HS, also known as acne inversa, is a chronic and often debilitating disease primarily affecting the axillae, inframammary regions and perineum. The location of the lesions may lead to social embarrassment and failure to seek medical treatment. Scroto-preineal HS complicated by scrotal elephantiasis is a distressing disease. Excisional surgery with reconstruction is the recommended treatment with a high likelihood of good outcome. We present a 38-year-old male patient with long-standing scroto-perineal HS complicated by giant scrotal elephantiasis.