Open Access Case report

Lymphangioma circumscriptum in the scrotum: a case report

Saroona Haroon1* and Sheema H Hasan2

Author Affiliations

1 Department of Pathology and Microbiology, Aga Khan University Hospital, Stadium Road, P.O. Box 3500, Karachi, 74800, Pakistan

2 Department of Pathology and Microbiology, Aga Khan University Hospital, Karachi, 74800, Pakistan

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Journal of Medical Case Reports 2012, 6:233 doi:10.1186/1752-1947-6-233

Published: 9 August 2012

Abstract

Introduction

Lymphangioma circumscriptum is a rare benign skin disorder involving hamartomatous lymphatic malformation of deep dermal and subcutaneous lymphatic channels. It is a therapeutic challenge for the dermatologist when it occurs at common sites such as axilla, shoulder, groin and buttocks and a diagnostic challenge for the surgeon when it occurs at rare sites such as the scrotum. Surgical treatment is the most commonly used method to treat scrotal lymphangioma circumscriptum but there are high rates of recurrence.

Case presentation

We report the case of a 30-year-old Pakistani man who presented with scrotal swelling which was clinically misinterpreted as an infectious disorder. Later on re-resection of deeper tissue was performed to prevent recurrence. He is still being followed-up on a regular basis.

Conclusion

Awareness of the occurrence of lymphangioma circumscriptum in the scrotum in adult men without prior disease is mandatory to avoid missing the diagnosis and to ensure proper treatment.

Keywords:
Follow-up; Lymphangioma circumscriptum; Scrotum; Surgical treatment