ced along the corpus
cavernosum under the skin as far as the glans penis. It was easily
reduced, and at a subsequent autopsy it was found that it had not been
separated from the cord. Gluiteras a cites a parallel case of
dislocation of the testicle into the penis. 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. It sometimes attains an enormous size.
Leigh mentions a hydrocele weighing 120 pounds, and there are records
of hydroceles weighing 40 and 60 pounds. Larrey speaks of a sarcocele
in the coverings of the testicle which weighed 100 pounds. Mursinna
describes a hydrocele which measured 27 inches in its longest and 17 in
its transverse axis.
Tedford gives a curious case of separation of the ovary in a woman of
twenty-eight. After suffering from invagination of the bowel and
inflammation of the ovarian tissue, an ovary was discharged through an
opening in the sigmoid flexure, and thence expelled from the anus.
In discussing injuries of the vagina, the first to be mentioned will be
a remarkable case reported by Curran. The subject was an Irish girl of
twenty. While carrying a bundle of clothes that prevented her from
seeing objects in front of her, she st
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