. The diseases of children : medical and surgical. ossibly occur; it is, however, usually a disease of later life,and no case appears to have been recorded in childhood. (Gosselin.) Diagnosis.—The diagnosis of hydrocele in children is made by firstexamining the cord, and excluding the presence of a hernia by finding thatthere is no increased thickness of the cord above ; next, a soft, elastic, fluc-tuating feeling points to hydrocele ; and, finally, translucency, or the possibilityof reduction gradually by piessure or elevation, without any gurgling sensa-tion, clears up the case. It is, howev
. The diseases of children : medical and surgical. ossibly occur; it is, however, usually a disease of later life,and no case appears to have been recorded in childhood. (Gosselin.) Diagnosis.—The diagnosis of hydrocele in children is made by firstexamining the cord, and excluding the presence of a hernia by finding thatthere is no increased thickness of the cord above ; next, a soft, elastic, fluc-tuating feeling points to hydrocele ; and, finally, translucency, or the possibilityof reduction gradually by piessure or elevation, without any gurgling sensa-tion, clears up the case. It is, however, certain that hernise in infants, whenthe bowel contains only flatus and is much distended, are sometimes quitetranslucent. Mr. Howse was, we believe, the first to point out this fact,and we have many times seen the same thing. When there is an encysted hydrocele of the cord it is usually possibleto bring it down by traction, and feel the absence of thickening above, or thetense swelling may be made to slip backwards and forwards between the. Congenitalfunicular form. Encysted hydro-cele of the cord. Common vaginalhydrocele. Fig. -Diagram of the commoner forms of Hydrocele of the Vaginal from Lane. fingers, quite unlike a hernia. The mode of reduction serves to distinguisha funicular hernia from a funicular hydrocele, and the absence of distinct im-pulse gives corroborative evidence. Hydrocele of a retained testis sometimesoccurs and may give rise to difficulty ; the possibility of isolating it, its irre-ducibility, and its consistence, together with the absence of the testis fromthe scrotum, will give the clue. Combinations of two forms of hydrocele, of vaginal hydrocele withencysted hydrocele of the cord, may be met with, and a funicular processmay contain fluid at one time and a hernia at another. Or there may beinfantile hernia with infantile hydrocele. A collection of fluid may form in thesac of a congenital hernia, but is usually masked by
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