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Post-Traumatic Unilateral Elephantiasis: A Case Report

Digjeet Kaur

CASE report, 2025

Abstract

Lymphoedema is a chronic debilitating condition often perceived as incurable or refractory. It deteriorates the quality of life and can cause severe disability, impacting both the physical and psychosocial health of an individual. With recent advancements in diagnostic and therapeutic tools, its management is evolving. This case report presents a 45-year-old male who reported to our department with a primary complaint of swelling and difficulty while walking. Based upon clinical examination and investigations, the patient was diagnosed with post-traumatic elephantiasis. The patient was successfully treated using a combination of conservative measures, complete decongestive therapy (CDT), lymphatic-venous anastomosis (LVA), and reduction surgeries. The patient’s leg circumference was reduced from 120 cm to 35 cm. Management of lymphatic filariasis has been revolutionised by the introduction of CDT, LVA and super microsurgical vascularised lymph node transfer (VLNT).

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