. Surgery, its principles and practice . oms. While the diagnosis of cold abscess is now fairly clear, it canusually be fully confirmed if we examine the patients back. We shallgenerally find a kyphosis, showing the presence of tuberculous osteitis ordisease of the vertebra. If the disease is not sufficiently far advancedfor this, we may find marked rigidity in the spine, whicli will enable usto locate the lesion. Cold abscess m the inguinal region may be due to tuberculous osteitisof the pubic bones. I have seen several such cases. A careful historyof the case, together with the fact that the
. Surgery, its principles and practice . oms. While the diagnosis of cold abscess is now fairly clear, it canusually be fully confirmed if we examine the patients back. We shallgenerally find a kyphosis, showing the presence of tuberculous osteitis ordisease of the vertebra. If the disease is not sufficiently far advancedfor this, we may find marked rigidity in the spine, whicli will enable usto locate the lesion. Cold abscess m the inguinal region may be due to tuberculous osteitisof the pubic bones. I have seen several such cases. A careful historyof the case, together with the fact that the anatomic location of theswelling does not exactly correspond to that of an ingiimal hernia, willenable one in nearly every instance to make a correct diagnosis. Cysts.—Cysts in the inguinal or femoral region may be mistakenfor hernia, but the condition is extremely rare, and only cysts of Bartho-lins gland, simulating a labial hernia, could come into have seen but one such case, and the diagnosis there could be easily. Fig. 13. -Tdberculotjs Abscess of Os Pubis, Giving SomeSigns of an Inguinal Hernia. TREATMENT OF HERNIA. 31
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