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Massive Scrotal Edema : An Unusual Manifestation of Obstructive Sleep Apnea and Obesity-Hypoventilation Syndrome
Joint Authors
Dreifuss, Stephanie E.
Manders, Ernest K.
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-21
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Obstructive sleep apnea (OSA) may occur in association with obesity-hypoventilation (Pickwickian) syndrome, a disorder of ventilatory control affecting individuals with morbid obesity.
Through the pressor effects of chronic hypercapnia and hypoxemia, this syndrome may result in pulmonary hypertension, right heart failure, and massive peripheral edema.
We present a case of severe scrotal edema in a 36-year-old male with OSA and obesity-hypoventilation syndrome.
A tracheostomy was performed to relieve hypoxemia and led to dramatic improvement of scrotal edema.
No scrotal surgery was necessary.
Followup at two months showed complete resolution of scrotal edema, improvement in mental status, and normalization of arterial blood gas measurements.
This case demonstrates that OSA and obesity-hypoventilation syndrome may present with massive scrotal edema.
Furthermore, if OSA is recognized as the cause of right heart failure, and if the apnea is corrected, the resultant improvement in cardiac function may allow reversal of massive peripheral, including scrotal, edema.
American Psychological Association (APA)
Dreifuss, Stephanie E.& Manders, Ernest K.. 2013. Massive Scrotal Edema : An Unusual Manifestation of Obstructive Sleep Apnea and Obesity-Hypoventilation Syndrome. Case Reports in Medicine،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-490481
Modern Language Association (MLA)
Dreifuss, Stephanie E.& Manders, Ernest K.. Massive Scrotal Edema : An Unusual Manifestation of Obstructive Sleep Apnea and Obesity-Hypoventilation Syndrome. Case Reports in Medicine No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-490481
American Medical Association (AMA)
Dreifuss, Stephanie E.& Manders, Ernest K.. Massive Scrotal Edema : An Unusual Manifestation of Obstructive Sleep Apnea and Obesity-Hypoventilation Syndrome. Case Reports in Medicine. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-490481
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-490481