. Abdominal hernia : its diagnosis and treatment. he perineum.—The testis was the size of an almond, and its compo-nent parts could be readily made out through the skin. The left half of the scrotum wasundeveloped. The right testis was of normal size in the right half of the scrotum. {GoJardfrom Eccles Imperfectly Descended Testicle.) outside of the abdominal wall with the overhing tissues turnedback. It also graphically shows the action of the gubernac-ulum testis upon the scrotal wall. The other illustration () shows a small testicle lodged in the perineum, and thescrotum on the left si
. Abdominal hernia : its diagnosis and treatment. he perineum.—The testis was the size of an almond, and its compo-nent parts could be readily made out through the skin. The left half of the scrotum wasundeveloped. The right testis was of normal size in the right half of the scrotum. {GoJardfrom Eccles Imperfectly Descended Testicle.) outside of the abdominal wall with the overhing tissues turnedback. It also graphically shows the action of the gubernac-ulum testis upon the scrotal wall. The other illustration () shows a small testicle lodged in the perineum, and thescrotum on the left side undeveloped. Dr. W. B. Coley hascalled the hernia that sometimes develops with this formof mal-descent iiiguino-pcriucal hernia. Still another posi- DESCENT OF THE TESTICLE. 37 tion is shown in fig. 9, where the testicle has descended intothe tissues of the thigh, presenting in Scarpas triangle theappearance of femoral hernia. Fig. 10 shows a testicle lodgedjust outside the external abdominal ring, with hernia in theinguinal canal.^ Fig. A left testis in Scarpas triangle. Its cord could be traced ;;h the superficialabdominal ring. {Eccles.) The descent of the testicle may be arrested at any pointwithin the abdomen, or it may pass into the iliac fossa andremain there. It may lodge at any point in the inguinal canalbetween the internal and external rings, or it may pass on to awholly abnormal position outside the scrotum and be found inthe perineum, at the root of the penis, or into the subcutaneous Dr. Albert E. Halstead of Chicago reports a case where both testicleswere found on one side of the scrotum. Ectopia Testis Transversa, Sur-gery Gynecology and Obstetrics, p. 129, February, 1907. 38 ABDOMINAL HERNIA. tissues of the upper part of tlie tliigli. At times, it comes outof tlie external ring, but turns upwards upon the surface of tlieaponeurosis of the external oblique muscle towards the crestof the ilium. Its normal descent may be prevented by adeficiency in
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