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April 7, 1928


JAMA. 1928;90(14):1115. doi:10.1001/jama.1928.92690410002010a

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The case here described was thought of sufficient importance to report because of the unusual bacteriology involved.

W. L. B., a white man, aged 77, a widower, American, a houseman, entered the St. Louis City Hospital, Nov. 19, 1926, complaining that a mass, which had been present in the scrotum for many years, had flared up one week previous to admission to the hospital and was causing him considerable distress.

The following history was elicited: Twenty-six years before the patient had noticed a painless swelling in the left side of the scrotal sac. He was at a loss to account for it. There had not been any recently aquired trauma but at the age of 14, thirty-seven years prior to the date which marked the beginning of the scrotal swelling, the patient fell astride a cross-bar, injuring the inguinal region and left testis. Apparently a quick and complete recovery followed this injury.

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