. Transactions of the Southern Surgical and Gynecological Association . Fig. 3.—Bilocular hydrocele with thrombus. Larger cyst Fig. 4.—-Multilocular hydrocele of the cord. JOSEPH RANSOHOFF 409 case a hernia did not exist. The slight participation of thetesticle and the epididymis in the process, and its secondarynature, preclude even the suspicion of an ordinary epididy-mitis. All of the cases were on the right side. With the exclusion of the most common etiological causeof thrombosis, namely, bacterial invasion, we must look tosome mechanical obstruction or trauma, from very


. Transactions of the Southern Surgical and Gynecological Association . Fig. 3.—Bilocular hydrocele with thrombus. Larger cyst Fig. 4.—-Multilocular hydrocele of the cord. JOSEPH RANSOHOFF 409 case a hernia did not exist. The slight participation of thetesticle and the epididymis in the process, and its secondarynature, preclude even the suspicion of an ordinary epididy-mitis. All of the cases were on the right side. With the exclusion of the most common etiological causeof thrombosis, namely, bacterial invasion, we must look tosome mechanical obstruction or trauma, from very violentmuscular action, as to the cause of the thrombosis in thesecases. Whereas, it is well known that even prolonged com-pression of a vessel, as of the carotid artery, in prevention ofhemorrhage in major operations about the head, is not fol-lowed by thrombosis; this condition is much more likely toarise in thin-walled veins with their many small and irregu-lar tributaries. It appears to me that the cases describedare a mild type of the condition following torsion of the cord,to which attention has quite recently been directed. Into


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