Elephantiasis orientalis, and specially elephantiasis genitalis, in Bengal / by Allan Webb.

  • Webb, Allan
Date:
1855
Catalogue details

Licence: Public Domain Mark

Credit: Elephantiasis orientalis, and specially elephantiasis genitalis, in Bengal / by Allan Webb. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    minishing in size day by day till the next accession of fever. The fever recurred two times in a month, and the scrotum went on increasing in size with the fever, till it has attained the present size, t. e. two feet two inches in length, and four feet four inches in circumference. On examining the scrotum carefully, an old omental hernia is found in the right scrotum, which is also inflamed. Besides he is found to have got enlarged spleen. About eight days after admission, a large abscess was formed in the right scrotum, and the matter was formed outside the tunica vaginalis. This abscess was opened, and eight ounces of purulent matter let out. On the next morning, or the eighth day since his admission, the scrotum measured nine inches in length, and 13 in circumference. Latterly while under treatment, he had diarrhoea and afterwards hiccup, nausea, and vomiting. On the 14th day of admission, his bowels were found irregular. The scrotal sac much enlarged and sloughed. Pulse— small, thin and reduced, eyes sunk—and speaks with much difficulty— and on the 16th day he died. Treatment, locally.—Leeches to the scrotum, spirit lotion and bandage. Tinct. Iodine, compress, and bandage. Abscess opened. Tepid water injection, afterwards tepid water §xii., tinct. myrrha. Jss., solution alum 3j. for injection; turpentine and resin dressing pushed in the scrotal sac, and the same dressing over it. Internally—Dover’s pow- der, quinine mixture, quina. sulph. gr. ii. Ferri sulph. gr. ii., ext. opii. gr. \ thrice daily. Then pulv. creta co. cum opii. 3ss. quin, sulph. gr. ii. thrice daily. Post Mortem Appearances.—On opening the scalp, serous effu- sion is found underneath the dura mater. On opening the chest, the right lung is found to have adhered with the parieties of the chest. On cutting open the pericardium, effusion is found in it, and in the heart is seen a large mass of coagulated fibrin, which has extended into the vessels proceeding from it, and the walls of the heart had undergone fatty degeneration in its muscular tissue. On opening the abdomen, the liver is found unhealthy in its appearance and en- larged, having undergone fatty degeneration ; adherent over the ricffit lobe. The gall bladder distended with pale-looking bile. The spleen enlarged four times its natural size, and the capsule loaded with recent fibrinous deposits. The kidneys are also found to be very much enlarged, about three times their natural size. The capsules thickened, and on section the internal mass appears to be softened, and of a yellow tint, so these organs apparently presented the character of fatty degene- ration. There is also seen one or two cysts in the interior, and also atheromatous depositions both within and without their vessels (arterial). Examination of the Scrotum and its Abscess.—On cutting open the scrotum, the sac of an extensive abscess is found in its rioht side, which had been opened a few days ago. This abscess formed out- side the tunica vaginalis—it has also broke through the mediastinum and made its way into the other half, in the lower part. In the right scrotum also an old omental hernia is found to have protruded, and adhered with the upper part of the tunica vaginalis testis. An opening, large enough