Licence: Public Domain Mark
Credit: Outlines of human pathology / by Herbert Mayo. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![2. Chronic injiammation of the testis presents great diver- sity of feature : sometimes it occupies the body of the testis, sometimes the epididymis which becomes hard and knotted, occasionally both. Chronic inflammation of the testis occasionally occurs as one of the direct consequences of syphilis. There is a pa- tient now in the Middlesex Hospital under ray care, in whom this affection supervened upon chancre, and was shortly followed by psoriasis upon the back, and arras, and head. Chronic inflaramation of the testis is often accompanied by effusion of serura into the tunica vaginalis : in that case considerable pain is generally experienced from the pressure of the fluid on the gland. The pain is relieved upon letting out the fluid, \x. 161.] Chronic inflammation of the testis may terminate in abscess. To this head I think should be referred some of the cases (some to which the subsequent description applies beingcertainly tuberculous) which SirBenjaminBrodie speaks of as scrofulous disease. The patient, says Sir Benjamin Bro- die, describing this disease, experiences a slight pain at one part of the testicle, and you feel there a little enlargement, generally at one end of the epididymis. He then experiences pain at another part, and you find there another enlarge- ment, and this is generally also on the epididymis. These little tumours increase in size, becoming gradually more painful. Sometimes as many as three or four of these tu- mours are found on the surface of the epididymis. The skin becomes adherent to them, and one of them becomes an abscess, which bursts through the external skin. A similar abscess forms in another, and runs the same course. These abscesses discharge very little matter, and they do not heal like healthy abscesses. When you introduce a probe into one of the sinuses thus formed, you find that it passes down into the centre of the tubercle or tumour in which the abscess originated. The disease will go on in some instances until the whole of the testicle becomes disorganized. Some- times it is confined to one testicle; sometimes both are af- fected in the same manner. Sometimes it will completely destroy one of the testicles; but more frequently the testicle 2 o 2](https://iiif.wellcomecollection.org/image/b21066735_0591.jp2/full/800%2C/0/default.jpg)
