PMC2994881_01
Vulval elephantiasis involving both labia majora (35 x 25 cm on the right side and 45 x 30 cm on the left side) with well-healed scars of previously discharging inguinal sinuses. The lower limbs are normal (Case report 1).
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F1
She had two giant vulval swellings measuring 35 x 25 cm on the right side and 45 x 30 cm on the left side (Figure 1 and 2).
The pre-operative appearance (Case report 1).
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F2
She had two giant vulval swellings measuring 35 x 25 cm on the right side and 45 x 30 cm on the left side (Figure 1 and 2). Part of the fibro-fatty tissue of her labia majora was preserved to give them a natural bulging appearance (Figures 2, 3, 4, 5).
The resected specimen (the left weighing 20 pounds and the right weighing 16 pounds) (Case report 1).
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F3
Part of the fibro-fatty tissue of her labia majora was preserved to give them a natural bulging appearance (Figures 2, 3, 4, 5).
Post-operative appearance after resection of the lesions (Case report 1).
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F4
Part of the fibro-fatty tissue of her labia majora was preserved to give them a natural bulging appearance (Figures 2, 3, 4, 5).
The specimen bisected, showing grayish-white tissue loaded with lymph (Case report 1).
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F5
There was, however, no clear evidence of tuberculosis in the specimens (in the form of granulomas and/or acid fast bacilli), malignancy, filariasis or donovanosis(Figure 5).
PMC2994881_02
The specimen bisected, showing grayish-white tissue loaded with lymph (Case report 1).
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F5
There was, however, no clear evidence of tuberculosis in the specimens (in the form of granulomas and/or acid fast bacilli), malignancy, filariasis or donovanosis(Figure 5).
Vulval elephantiasis involving both of the labia majora (15 x 7 cm labial swelling on the left side and 9 x 5 cm labial swelling on the right side). The lower limbs are normal (Case report 2).
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F6
She had a 15 x 7 cm labial swelling on the left side and a 9 x 5 cm labial swelling on the right side (Figure 6).
A closer view of the labia (Case report 2).
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F7
She had the puckered scars of healed sinuses without any palpable lymph node in the inguinal and cervical regions (Figures 7 and 8).
Well-healed scars of old cervical tubercular sinuses (Case report 2).
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F8
She had the puckered scars of healed sinuses without any palpable lymph node in the inguinal and cervical regions (Figures 7 and 8).