Recurrent scrotal edema in liver cirrhosis - AME Medical Journal

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Aug 25, 2017 - Model for end-stage liver disease (MELD) score was 26. Intravenous infusion of albumin with oral diuretic and antiviral drugs were given.
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Recurrent scrotal edema in liver cirrhosis Xingshun Qi1, Shu An2, Hongyu Li1, Xiaozhong Guo1 1

Liver Cirrhosis Group, Department of Gastroenterology, General Hospital of Shenyang Military Area, Shenyang 110840, China; 2Medical Office,

Xingcheng Sanitarium of Shenyang Military Area, Xingcheng 125105, China Correspondence to: Xiaozhong Guo; Xingshun Qi. Liver Cirrhosis Group, Department of Gastroenterology, General Hospital of Shenyang Military Area, No. 83 Wenhua Road, Shenyang 110840, China. Email: [email protected]; [email protected]. Received: 07 August 2017; Accepted: 20 August 2017; Published: 25 August 2017. doi: 10.21037/amj.2017.08.22 View this article at: http://dx.doi.org/10.21037/amj.2017.08.22

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Liver cirrhosis is a potentially lethal disease, which can be complicated by liver failure, hepatic encephalopathy, splenomegaly, variceal bleeding, ascites, and hydrothorax (1,2). Herein, we reported a rare case with liver cirrhosis presenting with recurrent scrotal edema probably due to an extremely albumin level. On March 18, 2017, a 62-year-old male with a previous history of hepatitis B virus related liver cirrhosis was complaint of progressive edema of scrotum at our department. He denied any history of cardiac, renal, or thromboembolic diseases. On physical examinations, he had moderate jaundice, an enlarged scrotum of 10 cm × 8 cm (Panel A), negative shifting dullness, mildly enlarged spleen, and moderate edema of both lower limbs. Contrast-enhanced computed tomography scans demonstrated mild pleural effusion, shrunken and distorted liver, mild ascites, and splenomegaly. No thromboembolic diseases were found. Hepatitis B virus surface antigen and e antibody IgG were positive. Hepatitis B virus DNA viral load was 3.6×106 IU/mL (reference range: