It was the result of traumatism--a fall upon the wheel of
a cart. It was reduced under anesthesia, after two incisions had
been made, the adhesions broken up, and the shrunken sac enlarged
by stretching.
Rupture of the spermatic arteries and veins has caused sudden
death. Schleiser is accredited with describing an instance in
which a healthy man was engaged in a fray in the dark, and,
suddenly crying out, fell into convulsions and died in five
minutes. On examination the only injury found was the rupture of
both spermatic arteries at the internal ring, produced by a
violent pull on the scrotum and testicles by one of his
antagonists. Shock was evidently a strong factor in this case.
Fabricius Hildanus gives a case of impotency due to lesions of
the spermatic vessels following a burn. There is an old record of
an aged man who, on marrying, found that he had erections but no
ejaculations. He died of ague, and at the autopsy it was found
that the verumontanum was hard and of the size of a walnut and
that the ejaculatory ducts contained calculi about the size and
shape of peas.
Hydrocele is a condition in which there is an abnormal quantity
of fluid in the tunica vaginalis. It is generally caused by
traumatism, violent muscular efforts, or straining, and is much
more frequent in tropic countries than elsewhere.
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