Scrotal Lymphangioma: Symptoms and Diagnosis

Makoto Komura, Shoichi Tobari, Yutaka Kanamori, Masahisa Kato, Kazuo Koizu mi, Ryuji Hoshiai, Jyunji Shiga and Katsunori Nishida

Department of Pediatric Surgery, Tsudanuma Chuo General Hospital, Japan
Department of Surgery, Tsudanuma Chuo General Hospital, Japan
Department of Urology, Tsudanuma Chuo General Hospital, Japan
Department of Pathology, Tsudanuma Chuo General Hospital, Japan
Department of Pediatrics, The University of Tokyo Hospital, Japan

^*Correspondance to: Makoto Komura 

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Abstract:

We report here in a case of a scrotal lymphangioma with the characteristic symptom of intracystic bleeding that occurred in the absence of any traumatic episode. A boy, aged three years and eight months, presented with a swelling in his inguinoscrotal region that had gradually grown over time. By three years of age, the skin color of the scrotum had taken on a bluish tinge. Exploratory surgery revealed a multi lobular cyst in the subcutaneous region of the inguinal area that had spread to the scrotum. The cystic fluid was serous but slightly brownish. The inner epithelial layer of the cyst was positive for the lympho epithelial antigen, D2-40, indicating a lymphangioma. In conclusion, a cyst in the inguinoscrotal region that shows hemorrhaging in the absence of pain indicates this to be a lymphangioma.

Keywords:

Lymphangioma of scrotum; Hemorrhage; Hydrocele; Color doppler sonography

Cite the Article:

Komura M, Tobari S, Kanamori Y, Kato M, mi KK, Hoshiai R, et al. Scrotal Lymphangioma: Symptoms and Diagnosis. Ann Clin Case Rep. 2016; 1: 1177.