The American journal of the medical sciences . the scrotum with the pubic region the skin was softer and not nodu-lated, but still somewhat thickened and immovable, as if a?dematous. This part of the tumor formed a sort of pedicle six inches wide andthree or four inches thick. Neither the testicles nor the penis could bemade out. 354 FENGER, ELEPHANTIASIS OF THE SCROTUM. The inguinal glands on both sides were enlarged to the size of a smallwalnut, as were also the glands in Scarpas triangle. On the right sidethree cicatricial depressions—scars after the old abscesses—could be seen,one below an
The American journal of the medical sciences . the scrotum with the pubic region the skin was softer and not nodu-lated, but still somewhat thickened and immovable, as if a?dematous. This part of the tumor formed a sort of pedicle six inches wide andthree or four inches thick. Neither the testicles nor the penis could bemade out. 354 FENGER, ELEPHANTIASIS OF THE SCROTUM. The inguinal glands on both sides were enlarged to the size of a smallwalnut, as were also the glands in Scarpas triangle. On the right sidethree cicatricial depressions—scars after the old abscesses—could be seen,one below and two above Pouparts ligament; and on the left side twosimilar scars. There was no enlargement of the deeper glands alongthe external iliac vessels. The skin at the upper part of the inside of the thigh and the corre-sponding skin of the outer part of the tumor was the seat of intertrigo,the surface denuded, red and moist, partially covered with a whitish,fetid smegma. This surface inflammation caused the patient no pain, Fio. 1. Fir,. ? •• I- 1 B/ u V, itching, or other inconvenience. There were no enlarged lymph-glandsin any other part of the body, and no oedema of the lower limbs, onwhich, as well as elsewhere on the body, the skin was perfectly normal. Urine normal, liepeated examinati(jns of the blood at ditierent timesof the day and night showed no filaria and nothing abnormal. Appe-tite good ; bowels regular. His mental condition was somewhat abnor-mal ; he was melancholy and morose, did not want to talk with anyone,was not very willing to answer questions, but otherwise appeared to besufficiently intelligent. For two weeks previous to the operation antiseptic dressings wereapplied and local treatment directed to the excoriated surface betweenthe thigh and scrotum, so as to heal the superficial inflammation of theskin at this point and as a further preparation for the operation. On the day previous to the operation the patient was given a subli-mate bath, and
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