Acute scrotum secondary to filarial infection: A case report

International Journal of Surgery Science, 2019

Background: Filarial Scrotal Tumor (FST) is endemic regions in country like Asia and Africa. It is of variable origin in the country like India. Case presentation: We present a case of a 50-year-old male with huge scrotal swelling lead to chronic inflammation lesion of affected part. The patient underwent subtotal scrotectomy saving penis, testes and spermatic cords and followed by scrotal reconstruction with adequate cosmetic and functional outcome. Conclusion: In this report we discuss a rare case of scrotal filariasis in a patient, reflect on the etiology and the diagnostic and therapeutic approaches. Surgery can be successful even in giant filarial scrotum tumor.

Tropical Doctor, 2004

https://www.ijrrjournal.com/IJRR_Vol.3_Issue.5_May2016/Abstract_IJRR0013.html, 2016

Filariasis is a major public health problem. It is a parasitic infection most commonly caused by Wuchereria bancrofti. The clinical picture of the disease depends on duration of the disease, infection in the human host and worm load. We present an unusual case of testicular filariasis who presented with scrotal swelling.

Indian Journal of Pediatrics, 2005

Objective: Acute scrotal pain is a common urological emergency. Urgent exploration is the standard means of management, since no investigation can confidently exclude torsion of testis from the differential diagnosis.Methods: A review of all boys presenting with acute scrotal pain who underwent emergency scrotal exploration between January 1983 and March 2003 was performed.Results: 195 boys were included in this study. They were divided into 3 groups: group 1–73 with epididymo-orchitis, group 2–63 with torsion of testicular appendages and group 3–57 with spermatic cord torsion. The patients in group 2 were older than group 1, also patients in group 1 were older than group 3. During neonatal period the most common pathology was spermatic cord torsion, whereas in prepubertal period torsion of appendages was more common. In all boys, mean duration of pain at presentation was 2.11 days. Epididymo-orchitis was diagnosed in 37% of patients, with torsion of the appendages being the next most common entity. Testicular torsion was diagnosed in 29% of patients. In the group with testicular torsion salvage rate of testis was 37% because of late admission. The perioperative morbidity and mortality was not seen in any of the groups.Conclusion: We believe that any boy with acute scrotal pain and any suspicion of testicular torsion in physical examination must be applied routine surgical exploration.

Journal of Evidence Based Medicine and Healthcare, 2019

BACKGROUND Many acute scrotal conditions can present in similar way, Testicular torsion is a true surgical emergency because, the likelihood of testicular salvage decreases, as the duration of torsion increases. Other conditions that present in similar way to testicular torsion include, torsion of appendix testis, epididymo-orchitis, trauma to testis, haematocele, strangulated inguinal hernia. METHODS This is a prospective study conducted at SVRRGGH, Tirupati for a period of 12 months and 100 patients satisfying the inclusion criteria were included in the study. RESULTS In present study, the most common condition is epididymo-orchitis (35%) followed by Fournier's gangrene (30%), pyocele (16%), haematoma (10%), torsion (8%) and scrotal wall abscess (1%). Doppler vascularity was absent in all case of torsion (100%) and increased in all cases of epididymo-orchitis (100%). All cases of epididymo-orchitis were treated conservatively. All cases of Fournier's gangrene underwent debridement. 8 cases of pyocele underwent unilateral orchidectomy and 8 cases were treated by incision and drainage. 8 cases of hematoma were treated by exploration and evacuation and 2 cases were treated by orchidectomy. 6 cases of testicular torsion underwent unilateral orchidectomy and contralateral orchidopexy. 2 cases underwent bilateral orchidopexy. Scrotal wall abscess was treated by incision and drainage. CONCLUSIONS The most common cause of acute scrotum was epididymo-orchitis. Early exploration is the gold standard treatment for torsion.

International Journal of Medical Science and Clinical invention

Introduction: Acute Scrotum is an emergency with vast number of differential diagnoses with potential to have short and long term complications. Low salvage rates are often secondary to misdiagnosis and delayed presentation. Late presentation remains the greatest cause of orchiectomy.Many studies had been conducted, on whether every patient of acute scrotum should be explored or not on solely clinical grounds. Objective: The purpose of this study was to study the etiology, age incidence, the differential diagnosis and complications in patients with acute scrotum. Methods: The present prospective observational study was carried out at a tertiary care centre from August 2015 to November 2017 amongst 102 patients diagnosed and admitted for acute scrotum. Results: Out of 102 patients acute scrotum majority 74 (72.54%) had epididymitis and/or orchitis, 6 (5.88%) testicular torsion, 20(18.6%) pyocoele. In final diagnosis, we got 20 patients of pyocoele but only 17 patients were diagnose...

Revista Do Instituto De Medicina Tropical De Sao Paulo, 2009

Lymphatic filariasis (LF) causes a wide range of clinical signs and symptoms, including urogenital manifestations. Transmission control and disability/morbidity management/control are the two pillars of the overall elimination strategy for LF. Lymph scrotum is an unusual urological clinical presentation of LF with important medical, psychological, social and economic repercussions. A retrospective case series study was conducted on outpatients attended at the National Reference Service for Filariasis, in an endemic area for filariasis (Recife, Brazil), between 2000 and 2007. Over this period, 6,361 patients were attended and seven cases with lymph scrotum were identified. Mean patient age was 45 years (range, 26 to 64 years). Mean disease duration was 8.5 years (range, two to 15 years). All patients had evidence of filarial infection from at least one laboratory test (parasitological, antigen investigation or "filarial dance sign" on ultrasound). Six patients presented histories of urological surgery. The authors highlight the importance of the association between filarial infection and the inadequate surgical and clinical management of hydrocele in an endemic area, as risk factors for lymph scrotum. Thus, filarial infection should be routinely investigated in all individuals presenting urological morbidity within endemic areas, in order to identify likely links in the transmission chain.

Filariasis caused by the nematode Wuchereria Bancrofti is a public health and socioeconomic problem in tropical and subtropical countries. The clinical manifestations depend upon the course of infection in the human host and the worm load. It is a rarity to document filarial worms in histopathology from the testes. We present a giant filarial scrotum of size 30 kg in weight.

MUSRIFIN S.Pd. M.Pd, 2019

The task of the teacher to give instructions and guide students for more progressive in their knowledge, skills and self-constructivity to develop their potential. The teacher carries out his duties requiring technical skills that are supported by certain personality attitudes, and are guided by a code of ethics at the institution where he works, especially in Islamic education institutions. Technical skills, personality attitudes, obedience to religious values should develop when teaching profession is supported, and the situation provides opportunities in a professional manner, and teacher can realize the vision and mission of teaching and simultaneously carry out the vision and targets of the educational institutions in which they work.