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P. C., a man, aged 49, entered the hospital with the diagnosis of inguinal hernia. He was not a suitable subject for surgery on account of advanced arteriorenal disease. However, in the right groin was an irregular mass measuring about 5 by 12 cm. It was largest at its medial end, where it lay anterior to the pubis. At the lower end it was freely movable but seemed to enter the inguinal canal, where it tapered off and was lost in the deeper structures at the level of the internal ring. It was sharply defined, lobulated, not in the least tender to touch, and caused no discomfort. It did not give any impulse on coughing or straining. Gradual firm pressure could mold this mass into varying shapes.
The patient said that fourteen years before he had had a hernia on the right side and that some physician had injected it
Andrews E. PARAFFIN IN SAC OF INGUINAL HERNIA. JAMA. 1926;86(24):1835–1836. doi:10.1001/jama.1926.26720500003008d
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