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肥胖相关的耻骨部淋巴水肿累及生殖器:生殖器重建的非典型病例。

Obesity-related pubis lymphedema enclosing genitalia: An atypical case of genital reconstruction.

作者信息

Wurlod Daniel-Adrien, Meuli Joachim, Favre-Bulle Anne, Grilo Nuno, di Summa Pietro G

机构信息

Department of Plastic and Hand Surgery, Centre Hospitalier Universitaire Vaudois (CHUV), University of Lausanne (UNIL), Rue du Bugnon 46, 1011, Lausanne, Switzerland.

Institute of Pathology, Department of Laboratory Medicine and Pathology, Centre Hospitalier Universitaire Vaudois (CHUV), Rue du Bugnon 46, 1011, Lausanne, Switzerland.

出版信息

Urol Case Rep. 2024 Jul 2;55:102790. doi: 10.1016/j.eucr.2024.102790. eCollection 2024 Jul.

Abstract

Massive localized lymphoedema (MLL) is a rare complication of morbid obesity and has been scarcely reported in the literature, especially in the pubic area and genitalia. It is associated to BMI more than 40 kg/m. We report the case of a 37-year-old patient known for morbid obesity with 68.8 kg/m BMI and hypogonadism-obesity syndrome presenting an unusually voluminous scrotal MLL mass. Malignancy was ruled out before surgery. In total a 7.5 kg scrotal mass was resected. Surgery was performed with minor complications without requiring additional surgery.

摘要

巨大局限性淋巴水肿(MLL)是病态肥胖的一种罕见并发症,在文献中鲜有报道,尤其是在耻骨区和生殖器部位。它与体重指数超过40kg/m²相关。我们报告一例37岁病态肥胖患者,体重指数为68.8kg/m²,患有性腺功能减退-肥胖综合征,其阴囊出现异常巨大的MLL肿块。术前排除了恶性肿瘤。总共切除了一个7.5kg的阴囊肿块。手术过程中出现了轻微并发症,无需再次手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeb4/11265533/d0f5efb12f85/gr1.jpg

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