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I found a video on YouTube proclaiming to be showing the world's largest scrotum. [Caution: Video contains disturbing images and may be not safe for work settings.]

After searching online, I can't find news articles nor otherwise explaining how this would happen or verifying if this is real.

Is the video real? And if so, what could have caused this condition?

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Looks to me like the classic elephantiasis sufferer.

Wikipedia has more detail on the disease itself. It sounds unverified what the final cause of the thickening skin is:

However, the disease itself is a result of a complex interplay between several factors: the worm, the symbiotic Wolbachia bacteria within the worm, the host’s immune response, and the numerous opportunistic infections and disorders that arise.

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  • That's a terrible disease. +1 for good information included with an answer that makes sense.
    – Randolf Richardson
    Jul 20, 2011 at 17:20
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    I have removed an photograph image. It was possibly not safe-for-work; I didn't want to censor it, but merely place it behind a link. However, the source for the image was not cited, and there was no credit to the original copyright owner, so I was unable to do so. I will raise a meta-question on the topic because I don't want to be seen as censoring medical images.
    – Oddthinking ♦
    Jul 21, 2011 at 1:36
  • Good call @Oddthinking. My apologies.
    – Rory Alsop
    Jul 21, 2011 at 7:15
  • No problems, Rory. If you have a link for the original image, we could put that back in there (with a NSFW warning) so interested people can confirm that your diagnosis is plausible.
    – Oddthinking ♦
    Jul 21, 2011 at 10:34
  • +1 Another possibility is Hydrocele Testis though I'm unsure if they can grow that large.
    – user7920
    Oct 25, 2012 at 18:34

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