An Unusual Case of Elephantiasis Buttocks

a site for elephantiasis one never comes across in any textbook of surgery and must be rare. Case report A Hindu widow, aged 45 years, was. admitted into Khulna Sadar Hospital on 23rd November, 1945, with a huge swelling over both of her buttocks which, according to her, gradually increased within a course of three to four years. The cause of her seeking hospital help was that the swelling was not only very unsightly and an object of shame but it prevented her from walking erect and lying flat on her back. The patient gave a typical history of occasional attacks of fever (which has gradually become less and less in severity) along with pain and swelling over the buttocks, for a period of five to six years. On admission, the patient was an obese woman near about the climacteric. Both her buttocks were enormously swollen, rather hardand firm, the skin thickened, rough and warty in appearance, and showed some local dermatitis with intense itching which had developed very recently and prevented sleep at night (figure 1, plate XXX). She was running a low remittent temperature for several days past. Her teeth and gums were bad and septic. Pharynx?normal. Bowel?constipated; no his-