Giant scrotal lymphatic filariasis

Wuchereria bancrofti, transmitted by mosquito, is endemic in Ghana and scrotal elephantiasis is a rare manifestation. Scrotal elephantiasis can assume a large size impacting negatively on the quality of life of patients. We present a case of a 47-year-old male, living in lymphatic filariasis endemic area of Ghana, with a 10-year history of giant scrotal swelling. The patient had subtotal scrotectomy done with preservation of both testes and penis. Surgery had satisfactory outcome, marking the end of the patient’s 10-year ordeal with the huge scrotal mass.