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Im Mittelpunkt stehen die diagnostischen Fallstricke bei extremer Skrotalvergr\u00f6\u00dferung, die differenzierte Entscheidung \u00fcber Zeitpunkt und Ausma\u00df der operativen Sanierung im Rahmen einer persistierenden septischen Konstellation sowie die urologischen, pathologischen und rekonstruktiven Implikationen einer radikalen Resektion unter au\u00dfergew\u00f6hnlichen anatomischen Bedingungen. Berichte \u00fcber skrotale Elephantiasis als prim\u00e4ren septischen Fokus in nicht-endemischen Regionen sind selten und \u00fcberwiegend auf Einzelfalldarstellungen beschr\u00e4nkt. Der Fall verdeutlicht praxisrelevante diagnostische und therapeutische Entscheidungsschritte f\u00fcr das Management dieser ungew\u00f6hnlichen Konstellation.<\/jats:p>","DOI":"10.1055\/a-2901-8298","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T23:07:14Z","timestamp":1786748834000},"source":"Crossref","is-referenced-by-count":0,"title":["Gigantische skrotale Elephantiasis als septischer Fokus bei generalisiertem Lymph\u00f6dem: radikale Resektion bei initialem Tumorverdacht"],"prefix":"10.1055","author":[{"given":"Julia","family":"Peter-Schiller","sequence":"additional","affiliation":[{"name":"St. Elisabeth Klinikum Straubing, Germany","place":["Straubing"],"department":["Klinik f\u00fcr Urologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio","family":"Rodas Garzaro","sequence":"additional","affiliation":[{"name":"St. Elisabeth Klinikum Straubing, Germany","place":["Straubing"],"department":["Klinik f\u00fcr 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