Southern medicine and surgery [serial] . EfMOlDYMUS ffiffi iiiiiiiiiii Fig. 2—Shows attachment Of cyst to epididy-mis and testicle and remaining portion of epi- 150 SOUTHERN MEDICINE AND SURGERY April, 1924. the epididymal tissue and was firmly Smith, Clinton K.—Large Cystic Testicle and atached to the epididymis and testicle l*^8 UroL and Cutan Rev 1919,by a broad base. The cyst was separat- Ward> R. of the Epididymis, Lan- set, 1922, 2:807. White and Martins—Genito-Urinary Sur-gery and Venereal Diseases P. 341-343. Phila.,J. B. Lippincott Co., 1920. Whitney, Charles M.—The Etiolo
Southern medicine and surgery [serial] . EfMOlDYMUS ffiffi iiiiiiiiiii Fig. 2—Shows attachment Of cyst to epididy-mis and testicle and remaining portion of epi- 150 SOUTHERN MEDICINE AND SURGERY April, 1924. the epididymal tissue and was firmly Smith, Clinton K.—Large Cystic Testicle and atached to the epididymis and testicle l*^8 UroL and Cutan Rev 1919,by a broad base. The cyst was separat- Ward> R. of the Epididymis, Lan- set, 1922, 2:807. White and Martins—Genito-Urinary Sur-gery and Venereal Diseases P. 341-343. Phila.,J. B. Lippincott Co., 1920. Whitney, Charles M.—The Etiology andDiagnosis of Spermantocele, with a report ofthree carses (A review of the literature ofthe previous 63 years). Amer. Jour. , 1907, 3:175-197. Wolbarst, Abraham L.—An Unusually LargeCyst of the Epididymis (with references toearlier Frenche literature). Urolo. and 1920, 24 Fig. 3—Showing superior view of cyst,didyniis. ed from the testicle by careful dissec-tion without rupture. The exposedepididymis was sutured with fine catgutand the wound closed in the usual man-ner. The Tumor: The cyst was 6 , 414 cm. wide, and 3 cm. Volume 43 ccConclusions. (1) Epididymal cysts are probablymore common than the literature indi-cates. (2) The diagnosis is difficult andoften cannot be made until operation. (3) The cyst removed in this case isevidently retentive in character and thespermatocele type. It probably arosefrom a dilated seminiferous tube whichwas obstructed in some unknown man-ner or as a result of a catarrhal blockageof the duct. Bibliography. Crossan, Edward T.—Spermatocele, 72:500. Eccles, W. McAdaim—The Imperfectly Dis-cended Testis; Its Anatomy, Physiology andPathology. P. 44-47. New York, WilliamWood & Co., 1903. Keyes, Edward L.—Urology P. York, D. Appleton & Co., 1923. McKenna, C. M
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