File:Elements of pathological anatomy (1845) (14802856283).jpg

Identifier: 62130990R.nlm.nih.gov
Title: Elements of pathological anatomy
Year: 1845 (1840s)
Authors: Gross, Samuel D. (Samuel David), 1805-1884
Subjects: Pathologic Processes
Publisher: Philadelphia : Ed. Barrington & Geo. D. Haswell
Contributing Library: U.S. National Library of Medicine
Digitizing Sponsor: Open Knowledge Commons, U.S. National Library of Medicine

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ery fetidcharacter. White, flaky particles, soft, friable, and micaceous, or greasy,like adipocire, and composed of cholesterine, are likewise occasionally con-tained in the fluid of hydrocele. Dr. Bostock has suggested, with apparentprobability, that these small particles are not the direct result of secretion,but the product of a chemical change in the effused liquid, similar to that bywhich adipocire is formed from flesh when subjected to protracted macerationin water. The water of hydrocele is usually devoid of odor, but has a marked salinetaste, and is coagulated by heat, alcohol, corrosive sublimate, and the diluteacids; circumstances which clearly show its close affinity with the serum ofthe blood, from which it is derived. From the analysis of Dr. Bostock,f themost accurate that has yet been made, it appears that 100-00 parts of thefluid of hydrocele, of the specific gravity of 1024, consist of Water - - - - 91.25 Albumen ... - 6*85 Uncoagulable matter - - - 1*1 Salts ----- -8
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100-00 * Curling, Practical Treatise on the Diseases of the Testis, p. 153; Gazette Medicale de Paris,1838, p. 562.t Med. Chir. Trans., vol. iv., p, 53. 732 TESTICLE. In a case of hydrocele in which the fluid was of a dark grumous appear-ance, and intermixed with brilliant crystalline flakes, Brett and Bird* found500 parts contain Water - 441-50 Albumen and coloring matter of the ) 51-07 blood ) Cholesterine - - - - 5-40 Animal matter and salts soluble in ) •90 alcohol ) Animal matter soluble in water •76 Salts - •37 500-00 In recent hydrocele, the vaginal tunic is commonly unaltered; in old ones,on the contrary, it is apt to become hard, opake, and thickened. Occasion-ally the inner surface has a rough, pitted aspect, from the effusion of lymph ;and sometimes, though rarely, narrow bands extend from it to the testicle.The membrane may be partially ossified, or transformed into a hard gristlysubstance, which generally presents itself in the form of greyish, opakepatches, of vari

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