Surgery Volume 4.cWilliam Williams Keen
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Author: William Williams Keen
Number of Pages: 542 pages
Published Date: 01 Mar 2012
Publisher: Rarebooksclub.com
Publication Country: Miami Fl, United States
Language: English
ISBN: 9781130489279
Download Link: Surgery Volume 4
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1908 Excerpt: ... vary in size from the size of a plum to the size of an egg, seldom larger, although a few cases are reported which contained a pint or more of fluid. It is believed that they originate in some of the fetal remains about the testicle and epididymis. These fetal remains are the so-called appendices of the epididymis and testicle (the hydatids of Morgagni, both the sessile and pedunculated; the paradidymis or organ of Giralde's and the vas aberrans and the vas du rete). From any of these fetal structures a retention cyst can develop. As a rule, such cysts contain spermatozoa, although these cells may be absent. The diagnosis is made from the position of the cysts near the junction of the epididymis and testis and independent of both. Usually one can make out all three structures--cyst, testis, and epididymis. The development is slow and painless. The lesion is one of little moment, unless it attains a large size. As possible etiologic factors are to be mentioned trauma and inflammatory lesions, such as gonorrheal inflammation of the testis. Sometimes calcareous or even bony infiltration of the cyst wall occurs. The differential diagnosis must be made from hydrocele and neoplasm. Its size, shape, and location usually enable one to distinguish it from hydroceles. The rinding of spermatozoa in the fluid withdrawn can no longer le regarded as sufficient to establish a diagnosis, as it has been found that spermatozoa are present in a certain proxrtion of hydroceles. The sac may be intravaginal (Fig. 34.3), but in most cases it is outside of the tunica vaginalis. If of small size (as large as a cherry or small plum) and giving rise to no discomfort and not increasing in size, it may be let alone. The withdrawal of the fluid with a needle and an aspirating syringe i...
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