The diseases of infants and children . uncommon in early life. It is seen oftenerin the first 2 years than in childhood after that period. Estor^ in astudy of 207 cases of strangulation in infants up to the age of 2 j-ears,estimates that the likelihood of the development of this as compared withthat of adults is only in the ratio of 1:131. Strangulation according toMoynihan- is more prone to occur in the first 3 months than after thatperiod during the 1st year. Whitelocke-^ reported 2 cases in infants of17 and 22 days respectively. Diagnosis.—The only difficulty in diagnosis is in distinguishi
The diseases of infants and children . uncommon in early life. It is seen oftenerin the first 2 years than in childhood after that period. Estor^ in astudy of 207 cases of strangulation in infants up to the age of 2 j-ears,estimates that the likelihood of the development of this as compared withthat of adults is only in the ratio of 1:131. Strangulation according toMoynihan- is more prone to occur in the first 3 months than after thatperiod during the 1st year. Whitelocke-^ reported 2 cases in infants of17 and 22 days respectively. Diagnosis.—The only difficulty in diagnosis is in distinguishingthe lesion from hydrocele, the two conditions often closely resembling. Fig. 261i.—Large Inguinal of 14 months, in the Childrens Hospital of Philadelphia. each other. Hernia is usually opaque with transmitted light and hydro-cele translucent; but this is open to exceptions and hernias may alsosometimes appear translucent, if bowel only is present and is distendedby gas without fecal matter. Hydrocele is tluU on percussion and reducesslowly and often not at all. Hernia gives an impulse on coughing andreduces more quickly and often with the characteristic gurgling difficulty in diagnosis is increased by the fact that a hydrocele mayoccupy tlu^ tunica vaginalis and a hernia of the cord be situated imme-diately above this. Strangulation may in exceptional cases be r(>adilyconfounded with severe colic unless tli(> possibility of tiiis occurrenceis borne in mind and a systematic examination made. I have seen this 1 Rev. de chir., 1902. XXV, 215). » Lancet, 1897, II, 788. Brit. .lour. CliiM. Dis., 191:?, X. 2.);i. 796 THE DISEASE
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