Case 2:
A two and half year-old male child presented to the outpatient
department (OPD) with a history of swelling of the left hemi-scrotum of
three months duration. He also complained of intermittent itching over
the swelling. There was no history of fever or pain. On examination,
there was a subcutaneous swelling approximately 1x1 cm, non-tender in
the left hemi scrotum. Ultrasonogram study revealed a soft tissue
swelling with thin tubular tortuous structure in the left scrotal wall:
Worm (Dirofilaria)
The child was taken up for elective excision under general anesthesia.
Per operatively, a cystic lesion 1 x1 cm adherent to the dartos fascia
with live worm within was excised (Figure 2). The worm was sent for
microbiological analysis and was found to be Dirofilaria repens (Figure
3). The child was post operatively asymptomatic and on follow up he had
complete recovery.