Archive image from page 211 of The cyclopædia of anatomy and. The cyclopædia of anatomy and physiology cyclopdiaofana0402todd Year: 1849 996 TESTICLE (ABNORMAL ANATOMY). rence of hydrocele the tunica vaginalis may have been inflamed and contracted adhesions, so that the testicle may be connected to the membrane in front; in which case the serum accumulates on each side of or above and below the organ. The position of the testicle in front may also be owing to an original inversion of the organ, in which the free sur- face presenting backwards, the fluid collects in that direction and presses
Archive image from page 211 of The cyclopædia of anatomy and. The cyclopædia of anatomy and physiology cyclopdiaofana0402todd Year: 1849 996 TESTICLE (ABNORMAL ANATOMY). rence of hydrocele the tunica vaginalis may have been inflamed and contracted adhesions, so that the testicle may be connected to the membrane in front; in which case the serum accumulates on each side of or above and below the organ. The position of the testicle in front may also be owing to an original inversion of the organ, in which the free sur- face presenting backwards, the fluid collects in that direction and presses the testicle to the front of the sac. Sometimes there are several adhesions producing a sacculated ar- rangement and forming what is termed a multilocular hydrocele. Occasionally the cysts thus formed have no communication with each other. In two instances I have seen a membranous partition in the sac of a hydro- cele, separating it into two distinct cavities, formed by a layer of false membrane. There is one kind of sac or pouch often met with in hydroceles which is not commonly de- scribed. It is situated on the inner side of the testicle, but the opening into it is always found on the outer side between the body of the gland and the middle of the epididymis. This sac, which varies very much in size, is formed by the distention of the cul-de-sac •which I have described as existing naturally at this part. Two examples of this kind of pouch are contained in the Hunterian Mu- seum. One of them is represented in the accompanying figure. In large hydroceles Fig. 639. 1, aperture of the pouch between the body of the testicle and middle of the epididymis. the epididymis is usually elongated and dis- placed ; and instead of a pouch being formed, the central part of the epididymis is drawn to some distance from the body of the tes- ticle. In old hydroceles the sac is often a good deal thickened, the tissues enveloping it being condensed and converted into layers of dense fasci
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