Petroleum jelly-induced penile paraffinoma with inguinal lymphadenitis mimicking incarcerated inguinal hernia

Chronic granulomatous inflammation may develop after injecting foreign oily substances into the penis. The disorder affects mainly the site of administration, but regional lymphadenopathy or even systemic disease can occur. We present a 39-year-old man with petroleum jelly-induced penile lesion and...

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Published inCanadian Urological Association journal Vol. 6; no. 4; pp. E137 - E139
Main Authors Sejben, István, Rácz, András, Svébis, Mihály, Patyi, Márta, Cserni, Gábor
Format Journal Article
LanguageEnglish
Published Canada Canadian Medical Association 01.08.2012
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Case Report
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Abstract Chronic granulomatous inflammation may develop after injecting foreign oily substances into the penis. The disorder affects mainly the site of administration, but regional lymphadenopathy or even systemic disease can occur. We present a 39-year-old man with petroleum jelly-induced penile lesion and unilateral inguinal lymphadenitis mimicking incarcerated inguinal hernia. At hernioplasty no hernial sac was found, but enlarged lymph nodes suspicious for malignancy were identified. The histopathologic findings of these nodes were consistent with mineral oil granuloma. Paraffinoma of the male genitalia can cause various clinical features posing a differential diagnostic dilemma. Regional lymphadenitis may be the main clinical characteristic. Patient's history, physical and histopathological examination are required to establish the diagnosis.
AbstractList Chronic granulomatous inflammation may develop after injecting foreign oily substances into the penis. The disorder affects mainly the site of administration, but regional lymphadenopathy or even systemic disease can occur. We present a 39-year-old man with petroleum jelly-induced penile lesion and unilateral inguinal lymphadenitis mimicking incarcerated inguinal hernia. At hernioplasty no hernial sac was found, but enlarged lymph nodes suspicious for malignancy were identified. The histopathologic findings of these nodes were consistent with mineral oil granuloma. Paraffinoma of the male genitalia can cause various clinical features posing a differential diagnostic dilemma. Regional lymphadenitis may be the main clinical characteristic. Patient's history, physical and histopathological examination are required to establish the diagnosis.
Author Rácz, András
Cserni, Gábor
Patyi, Márta
Svébis, Mihály
Sejben, István
AuthorAffiliation Department of Surgical Pathology, Bács-Kiskun County Teaching Hospital, Kecskemét, Hungary
Department of Hospital Hygiene, Bács-Kiskun County Teaching Hospital, Kecskemét, Hungary
Department of Pathology, University of Szeged, Szeged, Hungary
Department of Surgery, Bács-Kiskun County Teaching Hospital, Kecskemét, Hungary
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Title Petroleum jelly-induced penile paraffinoma with inguinal lymphadenitis mimicking incarcerated inguinal hernia
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