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January 30, 1932


Author Affiliations

Tacoma, Wash.

JAMA. 1932;98(5):399-400. doi:10.1001/jama.1932.27320310002009b

The occurrence of hydrocele of the tunica vaginalis testis in which the major portion of the sac extends upward into the abdomen is of sufficient rarity to warrant a published report. I can find no mention of a similar condition in the American literature. A case was reported by Richards1 in 1908 in an Egyptian. He lists a small bibliography which cites thirty-one other cases. Coleman2 describes a case, also in an Egyptian, notable for the huge size of the sac: the fluid contents measured 27 pints. Bickle3 of Australia, in citing a case, suggests the term abdominoscrotal as being more accurately descriptive than the more usual term bilocular hydrocele.

My patient, an American, aged 26, had noticed the presence of a right scrotal "hernia" for about five years but had never felt it necessary to do anything about it. He had never been sick and worked