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

István Sejben Dr., András Rácz, Mihály Svébis, Márta Patyi, Gábor Cserni

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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.

Original languageEnglish
Pages (from-to)E137-E139
JournalJournal of the Canadian Urological Association
Volume6
Issue number4
DOIs
Publication statusPublished - Aug 1 2012

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ASJC Scopus subject areas

  • Oncology
  • Urology

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