Scrotal Lymphatic Filariasis: A Rare Clinical Image

Abstract

A 50-year-old man presented with a large, lobulated swelling of the scrotum that had been persisting for two years. This swelling developed slowly, increasing over time, and was accompanied by a foul-smelling discharge. Examination revealed a scrotum covered in nodules, significantly enlarged but with a soft to firm consistency. The scrotal skin was entirely affected, while the penis remained normal-sized and shaped, with no sign of inguinal lymphadenopathy [Table/Fig-1]. The patient underwent surgery to remove the lobulated mass, followed by skin grafting and covering of the testis with dartos fascia. The operation proceeded smoothly, and histopathological analysis confirmed a diagnosis of scrotal lymphatic filariasis.

Keywords

• lobulated swelling
• lymphadenopathy
• nodule
• penis