File:Manual of pathological anatomy (1875) (14778800391).jpg

Identifier: manualofpatholog00jone (find matches)
Title: Manual of pathological anatomy
Year: 1875 (1870s)
Authors: Jones, C. Handfield, (Charles Handfield), 1819-1890 Sieveking, Edward H. (Edward Henry), 1816-1904 Payne, Joseph Frank, 1840-1910, ed
Subjects: Anatomy, Pathological Anatomy Pathology
Publisher: London : Churchill
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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accumulationmay depend upon either an excessive secre-tion or a defective absorption of this fluid,and it is usually caused by some inflamma-tory action. The fluid is usually clear, andof a straw colour, but it may be quitecolourless, green, turbid, slightly ruddy, orglistening with shining scales of choles-terine. Its quantity is sometimes veryconsiderable; six quarts are said to havebeen withdrawn in the case of Gribbon, thegreat historian. The serous membrane inold hydroceles may be more or less thick-ened, and even the seat of calcareous de-posit. Adhesions formed between the twolayers of the tunica vaginalis may, accord-ing ■^o their length and extent, alter theusual position of the testicle, so that it ap-pears in front, instead of lying in its usualplace at the posterior and lower part of thedistended sac; or they may subdivide thecavity, and produce thus a multilocularhydrocele. The natural cul-de-sac whichexists between the epididymis and the body of the testicle, is some-
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Drawing of larg-e hydro-cele, combined with scrotalhernia. Curlings article on Tes-tis Cyclop.Anat. and Phys. nYDROCELE. 721 times mncli distended, so as to form a poucli, which projects on theinner side of the gland. The morbid action in hydrocele is confinedto the serons membrane; the testis either remains natuial, or issomewhat flattened, and, in some cases, partially atrophied by thepressure of the fluid. When, however, the original seat of diseaseis in the gland itself, the serous covering is often secondarilyinvolved, so that serous efiusion in the sac is very often associatedwith chronic orchitis, or other diseases of the testicle ; and such acombination has been termed a hydro-sarcocele. Hydrocele seemsto be met with on either side in about an equal proportion ofcases. In congenital hydrocele the dropsical tunica vaginalis retains itsfoetal communication with the peritoneal cavity. Encysted hydrocele of the testis, as it is called, proceeds from thedevelopment of new cysts ben

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