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

## TL;DR

A rare case of severe lymphedema in the genital area of an obese patient is described, with successful surgical removal of a 7.5 kg mass.

## Contribution

This paper presents a novel clinical case of massive scrotal lymphedema in a patient with morbid obesity and hypogonadism-obesity syndrome.

## Key findings

- A 37-year-old patient with a BMI of 68.8 kg/m2 had a 7.5 kg scrotal lymphedema mass removed.
- The surgery was performed with minor complications and no additional procedures were needed.
- Malignancy was ruled out prior to the surgical intervention.

## 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/m2. We report the case of a 37-year-old patient known for morbid obesity with 68.8 kg/m2 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.