. Abdominal hernia : its diagnosis and treatment. eds of miles for the treatment of hernia whenthe latter did not exist, pro\es that it is not always so plainto the average examiner. The test given for fluid tumors,carefully executed, should give conclusive information. The common saying that a varicocele feels like a bunch ofearthworms is not in itself a safe guide, as a mass of thinomentum may convey ven,- much the same sensation and presenta similar appearance. It seems hardlv pardonable, however, that DIAGNOSIS OF INGUINAL HERNIA. 105 such a case as that shown in fig. 57, where the dilated
. Abdominal hernia : its diagnosis and treatment. eds of miles for the treatment of hernia whenthe latter did not exist, pro\es that it is not always so plainto the average examiner. The test given for fluid tumors,carefully executed, should give conclusive information. The common saying that a varicocele feels like a bunch ofearthworms is not in itself a safe guide, as a mass of thinomentum may convey ven,- much the same sensation and presenta similar appearance. It seems hardlv pardonable, however, that DIAGNOSIS OF INGUINAL HERNIA. 105 such a case as that shown in fig. 57, where the dilated sur-face veins at once suggested its character, shoukl be mistakenfor hernia. In some men, however, not only does the scrotalsurface present a perfectly normal condition, but the cord isso enlarged in the canal that it has the feeling of again, if the hand is placed over the canal and the patientmade to assume a lying-down position, the tumor will disap-pear without any part of it having been felt to pass under the fingers. Fig. .J Extreme case of varicocele that had been mistaken for hernia. In a case of double abdominal varix which had been mis-taken for hernia, sent to me from a distant state, the superficialepigastric vein, on eitlier side, was so enormously dilated as tosimulate fairly well double inguinal hernia. The tumors wereeasily compressible, which ga\e them the ajjpearance of beingreducible, and a truss had been worn over them. They gavethe peculiar thrill of reducible fluid tumors when the patientcoughed, and this had been mistaken for impulse. There wereno other enlargefl veins in the immediate vicinity, but below theknee the varicose condition was quite marked. 106 ABDOMINAL HERNIA. Labial \arix may be even more misleading and is morefrequently met with. The tumor disappears almost completelyon lying down and appears promptly on standing up, but it caneasily be demonstrated by the test for fluid tumors, alreadygiven, that it is not reducible to
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