Alibert mentions a patient who was operated upon by
Clot-Bey, whose scrotum when removed weighed 110 pounds; the man
had two children after the disease had continued for thirteen
years, but before it had obtained its monstrous development--a
proof that the functions of the testicles had not been affected
by the disease.
There are several old accounts of scrotal tumors which have
evidently been elephantoid in conformation. In the Ephemerides in
1692 there was mentioned a tumor of the scrotum weighing 200
pounds. In the West Indies it was reported that rats have been
known to feed on these enormous tumors, while the deserted
subjects lay in a most helpless condition. Larrey mentioned a
case of elephantiasis of the scrotum in which the tumor weighed
over 200 pounds. Sir Astley Cooper removed a tumor of 56 pounds
weight from a Chinese laborer. It extended from beneath the
umbilicus to the anterior border of the anus; it had begun in the
prepuce ten years previously. Clot-Bey removed an elephantoid
tumor of the scrotum weighing 80 pounds, performing castration at
the same time. Alleyne reports a case of elephantiasis, in which
he successfully removed a tumor of the integuments of the scrotum
and penis weighing 134 pounds.
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