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Isolated penile lymphedema in an adolescent male: a case of metastatic Crohn's disease.

Abstract：

OBJECTIVE:Metastatic Crohn's disease is a rare and complex inflammatory condition distinguished by cutaneous granulomatous lesions outside the gastrointestinal tract. Genital involvement is rare; with less than 10 cases reported involving isolated penile lymphedema. Here, we present a case of isolated lymphedema of the penis as a consequence of extra-intestinal Crohn's disease. CASE REPORT:The patient is an 18-year-old African American male with a complex history of inflammatory bowel disease, who initially presented with a chief complaint of 6 weeks of swelling of his penis at age 13. A modified circumcision and lymphangectomy of the penis were performed; histopatholgy demonstrated a granulomatous infiltrate and interstitial edema of the distal penis. CONCLUSION:Surgical intervention is an applicable therapeutic alternative and last-line therapy for treatment of isolated penile lymphedema in select patients with appropriate pathology, and can be a suitable adjunct to medical management in these cases.

journal_name

J Pediatr Urol

journal_title

Journal of pediatric urology

authors

Sackett DD,Meshekow JS,Figueroa TE,Napoli JA

doi

10.1016/j.jpurol.2012.03.006

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

e55-8

issue

5

eissn

1477-5131

issn

1873-4898

pii

S1477-5131(12)00061-7

journal_volume

8

pub_type

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