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Elephantitis of the vagina

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    Elephantiasis is caused by obstruction of lymphatic system and has varied etiology as filariasis,[ 1 ] complication of tubercular lymphadenitis[ 2 ] and idiopathic. Preanesthetic examination was unremarkable. All the routine investigations including hemoglobin, total and differential counts, blood sugar, urea, serum creatinine, montoux test, urine examination, chest X-ray, ultrasound of abdomen and pelvis were normal. She had difficulty in walking to the extent that she could walk slowly with one hand supporting the swelling, with her legs apart.
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    Vulval elephantiasis

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    Elephantitis of the vagina : sharonberg.com

    Metrics details. Elephantiasis as a result of chronic lymphedema is characterized by gross enlargement of the arms, legs or genitalia, and occurs due to a variety of obstructive diseases of the lymphatic system. Genital elephantiasis usually follows common filariasis and lymphogranuloma venereum. It may follow granuloma inguinale, carcinomas, lymph node dissection or irradiation and tuberculosis but this happens rarely. Vulval elephantiasis as a consequence of extensive lymph node destruction by tuberculosis is very rare.
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    Rare Disease Database

    Elephantiasis is a condition characterized by gross enlargement of an area of the body, especially the limbs. Other areas commonly affected include the external genitals. Elephantiasis is caused by obstruction of the lymphatic system, which results in the accumulation of a fluid called lymph in the affected areas. Functioning as part of the immune system, the lymphatic system helps to protect the body against infection and disease. It consists of a network of tubular channels lymph vessels that drain a thin watery fluid known as lymph from different areas of the body into the bloodstream.
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    A year-old woman presented with swelling in the genital region since seven years. On examination, she was found to have elephantiasis involving her left leg, not associated with any symptoms. She gave a history of treatment for filariasis in the past. Genital examination revealed a pendulous swelling arising from the left labia mimicking a scrotum with buried penis [ Figure 1 ].
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