A Case of Inguinal Lymphorrhea After Resection of Scrotal Lymphangioma, Which was Successfully Treated With the Kampo Medicine Eppikajutsuto

Abstract

We report the case of a 5-year-old boy who was referred to our institution, presenting with bulging of the left inguinal area, fever, and pain. An infected scrotal lymphangioma was suspected. Antibiotic administration failed to improve the symptoms, and transscrotal drainage was performed the next day. The fever and pain disappeared promptly after drainage. Total surgical excision and adhesiolysis of the cystic lesion were performed one and a half months after drainage. Histological examination revealed that the cystic lesion was a lymphangioma. He developed a symptomatic postoperative lymphorrhea, and his quality of life was impaired for one month. The Kampo medicine eppikajutsuto markedly reduced the size of the inguinal lymphocele. During the follow-up period of 3.5 years, the patient remained asymptomatic. The Kampo medicine eppikajutsuto has an irrigation effect that normalizes the disequilibrium of fluids in the body; therefore, it is effective against lymphatic malformations. We assume that eppikajutsuto is also effective against inguinal lymphorrhea.