Scrotal Elephantiasis in a 14-year-old Child

Background: Scrotal elephantiasis is a rare condition, especially in non-endemic regions. This case is novel due to its presentation in a young patient without infectious or hereditary causes, highlighting the need for awareness and tailored surgical approaches in similar scenarios. Case Presentation: A 14-year-old male presented with an 11-year history of progressive scrotal enlargement, causing significant physical impairment. Clinical examination and ultrasound confirmed scrotal elephantiasis. Surgical resection and reconstruction were performed, involving excision of excess tissue and subsequent scrotal reconstruction. Postoperative care included wound management and physiotherapy. The patient recovered well, with satisfactory aesthetic and functional outcomes, allowing a return to normal activities. Conclusion: This case underscores the importance of early diagnosis and individualized treatment strategies for scrotal elephantiasis. It demonstrates that successful surgical intervention can significantly improve quality of life in pediatric patients, providing a reference for similar cases in non-endemic regions.